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Victoria Larson Trevino

Student in an Organized Health Care Education/Training Program in Honolulu, HI. Individual provider (NPI-1).

NPI number1043077902
StatusActive
Last updated in NPPESMar 6, 2024

Details

NPI
1043077902
Entity type
Individual (NPI-1)
Name
Victoria Larson Trevino
Sex
Male
Sole proprietor
No
Enumeration date
Mar 6, 2024
Certification date
Mar 6, 2024
Last updated
Mar 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

2530 Dole St
Honolulu, HI 96822-2309

Phone 801-644-4729

Mailing address

2530 Dole St
Honolulu, HI 96822-2309

Phone 801-644-4729

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