Alfonso F Jimenez

NPI #1821290917 in Ewa Beach, Hawaii

Provider Information

NPI Number
1821290917
Entity Type
Organization
Organization Name
Alfonso F Jimenez
Primary Specialty
Clinic/Center
Enumeration Date
Jun 1, 2007
Last Updated
Aug 26, 2008

Practice Location

Address
91-896 MAKULE RD
Address 2
SUITE 102
State
Hawaii
ZIP Code
96706-2543
Phone
(808) 689-4414

Authorized Official

Name
ALFONSO F JIMENEZ, D.O.
Title
OWNER
Phone
(808) 689-4414

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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