NPI 1528414752

Ian Matthew Work

Practitioner Driver Captain Cook, HI

Practice location

Address: 82-6065 Mamalahoa Hwy APT A203, Captain Cook, HI 96704-0564
Phone: (808) 266-5378
Mailing address: PO Box 564, Captain Cook, HI 96704-0564

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 16-141 (HI)

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Registry record

NPI: 1528414752
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 May 2016
Record last updated: 14 May 2016

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.