EULOGIO QUINTOS GUTIERREZ

KANEOHE BAY, HI
NPI1912158122
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2008-10-07
Last Update Date2008-10-07
Business Address
Mr. EULOGIO QUINTOS GUTIERREZ IDC
1058 MIDDAUGH STREET
KANEOHE BAY, HI 96863
Phone number: 808-257-1479
Mailing Address
Mr. EULOGIO QUINTOS GUTIERREZ IDC
7293 BIRCH CIR
PEARL CITY, HI 96782-4501
Phone number: 951-775-3895