| NPI | 1326015652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO DINULONG L CPO 808-653-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1710I1002X Military Health Care Provider, Independent Duty Corpsman |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2020-08-22 |