JIVIN GERARD TANTISIRA

WAILUKU, HI
NPI1104889583
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: HI  MD 9427)
Enumeration Date2006-04-07
Last Update Date2023-08-30
Business Address
Dr. JIVIN GERARD TANTISIRA m.d.
450 HOOKAHI ST
WAILUKU, HI 96793-1447
Phone number: 808-877-3984
Mailing Address
Dr. JIVIN GERARD TANTISIRA m.d.
450 HOOKAHI ST
WAILUKU, HI 96793-1474
Phone number: 808-877-3984
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