NPI 1174392617
Constancio G Bumanglag, PBTASCP
Practice location
- Address
- 91 1001 Keaunui Drive 215, Ewa Beach, HI 96706
- Phone
- (808) 393-8073
- Fax
- (808) 517-5173
Registered specialties
Phlebotomy Technician
Primary
Registry record
- NPI
- 1174392617
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Dec 2023
- Record last updated
- 26 Dec 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.