Frederick Jose

NPI #1225659295 in Waipahu, Hawaii

Provider Information

NPI Number
1225659295
Entity Type
Individual
Name
Frederick Jose
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Custodial Care Facility
Enumeration Date
May 1, 2020
Last Updated
May 1, 2020

Practice Location

Address
94-398 KAHUANANI ST
State
Hawaii
ZIP Code
96797-3510
Phone
(808) 678-2034

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility

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