Provider Demographics
NPI:1306233507
Name:SANQUI, GEORGE
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:SANQUI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 KAPAHULU AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-4033
Mailing Address - Country:US
Mailing Address - Phone:808-594-8348
Mailing Address - Fax:
Practice Address - Street 1:324 KAPAHULU AVE
Practice Address - Street 2:JES
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-4033
Practice Address - Country:US
Practice Address - Phone:808-594-8348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-25
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health