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Mr. EULOGIO QUINTOS GUTIERREZ -- IDC

Individual Provider (NPI-1) Active

Military Health Care Provider, Independent Duty Corpsman

Provider Information

NPI Number
1912158122
Provider Type
Individual Provider (NPI-1)
Credentials
IDC
Status
Active

Contact & Location

Address
1058 MIDDAUGH STREET, KANEOHE BAY, HI, 96863
Phone
(808) 257-1479

Specialties & Taxonomies

Military Health Care Provider, Independent Duty Corpsman Primary License: CA

All Addresses

MAILING

7293 BIRCH CIR

PEARL CITY, HI, 967824501

(951) 775-3895

LOCATION

1058 MIDDAUGH STREET

KANEOHE BAY, HI, 96863

(808) 257-1479