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NPI Profile for CONSTANCIO G BUMANGLAG JR in EWA BEACH, HI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Phlebotomy |
246RP1900X |
| NPI # | 1174392617 |
|
| Status | Active | |
| Credentials | PBT, ASCP | |
| Entity | Individual | |
| Enumeration date | 12/26/2023 | |
| Last updated | 12/26/2023 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CONSTANCIO G BUMANGLAG JR
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CONSTANCIO G BUMANGLAG JR, PBT, ASCP