ALFONSO F JIMENEZ

EWA BEACH, HI
NPI1821290917
Entity TypeOrganization
Authorized ContactALFONSO F JIMENEZ
Owner
808-689-4414
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2007-06-01
Last Update Date2008-08-26
Business Address
ALFONSO F JIMENEZ
91-896 MAKULE RD SUITE 102
EWA BEACH, HI 96706-2543
Phone number: 808-689-4414
Mailing Address
ALFONSO F JIMENEZ
91-896 MAKULE RD SUITE 102
EWA BEACH, HI 96706-2543
Phone number: 808-689-4414