IMRUSTY SIMON

HONOLULU, HI
NPI1922774884
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
(Licence: HI  RBT-20-141891)
Enumeration Date2021-08-20
Last Update Date2021-08-20
Business Address
IMRUSTY SIMON RBT
1405 ERNEST ST APT 4
HONOLULU, HI 96822-3879
Phone number: 808-439-3147
Mailing Address
IMRUSTY SIMON RBT
1405 ERNEST ST APT 4
HONOLULU, HI 96822-3879
Phone number:
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