NPI 1215490412

Jason V Carranza, BOCPD

Practitioner Pedorthist Tripler Amc, HI

Practice location

Address: 1 Jarrett White Rd Rm 3g812, Tripler Amc, HI 96859-5001
Phone: (808) 433-6967
Mailing address: 91-1042 Kaloi Pl, Ewa Beach, HI 96706-3776

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence C51722 (HI)

Other Pedorthist providers in Hawaii →

Registry record

NPI: 1215490412
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2019
Record last updated: 6 Oct 2021

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.