Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 1653 | OR |
Y | 175F00000X | Naturopath | 190 | HI |
NPI | 1043452477 |
---|---|
Provider Name | Daniel Raymond Caputo |
First Address | Captain Cook, HI 96704-8232 |
Second Address | Kailua Kona, HI 96740-1766 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2009 |
Last Update Date | 24/08/2010 |