KENNETH DEWALT

KAHULUI, HI
NPI1477106425
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2019-07-18
Last Update Date2019-07-18
Business Address
Mr. KENNETH DEWALT
155 S WAKEA AVE
KAHULUI, HI 96732-1343
Phone number: 808-249-2065
Mailing Address
Mr. KENNETH DEWALT
710 GREEN ST
HONOLULU, HI 96813-2119
Phone number:
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