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Dominique Valencia Bolosan
NPI 1144587627 · on the registry since 2012
Practice
- Address
- 55 Kiopaa Pl
Makawao, HI 96768 - Phone
- (808) 573-9300
- Fax
- (808) 573-9309
- Organisation at this address
- Longs Drug Stores California Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Also registered as
- Pharmacist
- Licence states on file
- WA, HI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii