NPI 1891052361

Jay Domingo

Practitioner Independent Duty Corpsman Kapolei, HI

Practice location

Address: 92-530 Palailai St, Kapolei, HI 96707-1038
Phone: (808) 221-8287

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1891052361
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Apr 2012
Record last updated: 20 Apr 2012

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.