CONRAD BUGARIN BERNISTO

WAIPAHU, HI
NPI1245585058
Entity TypeOrganization
Authorized ContactCONRAD BERNISTO
Owner
808-282-1907
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: HI  PSY-1291)
Enumeration Date2012-07-18
Last Update Date2012-07-18
Business Address
CONRAD BUGARIN BERNISTO
94-141 MAKOA ST
WAIPAHU, HI 96797-4728
Phone number: 808-282-1907
Mailing Address
CONRAD BUGARIN BERNISTO
4348 WAIALAE AVE # 656
HONOLULU, HI 96816-5767
Phone number: 808-282-1907