DAVID MALDONADO SANTIAGO

JBPHH, HI
NPI1134759715
Professional NameDAVID MALDONADO
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2020-01-22
Last Update Date2021-03-17
Business Address
DAVID MALDONADO SANTIAGO IDC
590 MOFFET ST
JBPHH, HI 96853-5168
Phone number: 808-448-4500
Mailing Address
DAVID MALDONADO SANTIAGO IDC
1020 KAKALA ST APT 1306
KAPOLEI, HI 96707-4547
Phone number: 224-772-4927