JONATHAN PEDERSON

KAILUA, HI
NPI1164446050
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: HI  DOS 1119)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
-- JONATHAN PEDERSON DO
580 ULUHAKU ST
KAILUA, HI 96734-4411
Phone number: 602-316-9469
Mailing Address
-- JONATHAN PEDERSON DO
580 ULUHAKU ST
KAILUA, HI 96734-4411
Phone number: 602-316-9469
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