CONRADO OBIAS MANGANTI

KAILUA, HI
NPI1588849442
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2008-01-09
Last Update Date2008-01-09
Business Address
-- CONRADO OBIAS MANGANTI IDC
2073B CAMPION DR
KAILUA, HI 96734-4818
Phone number: 808-257-1571
Mailing Address
-- CONRADO OBIAS MANGANTI IDC
2073B CAMPION DR
KAILUA, HI 96734-4818
Phone number: 808-257-1571