Venture Medical 21 INC

NPI #1851647952 in Ewa Beach, Hawaii

Provider Information

NPI Number
1851647952
Entity Type
Organization
Organization Name
Venture Medical 21 INC
Primary Specialty
Clinic/Center
Enumeration Date
Jul 26, 2012
Last Updated
Aug 15, 2014

Practice Location

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

Authorized Official

Name
MR. JOSE D REQUE
Title
PRESIDENT
Phone
(808) 531-7878

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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