NPI 1538730726

Jhomel Descalzo Badua, TAXISERVICE

Practitioner Driver Keaau, HI

Practice location

Address: 16-1584 34th Ave, Keaau, HI 96749
Phone: (808) 430-7301
Mailing address: 17-606 S Ipuaiwaha Pl, Keaau, HI 96749-8209

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence H01332106

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Registry record

NPI: 1538730726
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2021
Record last updated: 8 Jul 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.