TIA HURTADO
Individual Provider (NPI-1)
Active
Technician
Provider Information
- NPI Number
1114635810- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1136 CALIFORNIA AVE, WAHIAWA, HI, 967862343
- Phone
- (808) 622-6432
Specialties & Taxonomies
Technician
Primary License: HI #21-160743
All Addresses
MAILING
1136 CALIFORNIA AVE
WAHIAWA, HI, 967862343