Provider Demographics
NPI:1427347020
Name:PAULINO, WALTER V
Entity type:Individual
Prefix:MR
First Name:WALTER
Middle Name:V
Last Name:PAULINO
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 1:735 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-1935
Mailing Address - Country:US
Mailing Address - Phone:808-628-9988
Mailing Address - Fax:808-621-3388
Practice Address - Street 1:735 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-1935
Practice Address - Country:US
Practice Address - Phone:808-628-9988
Practice Address - Fax:808-621-3388
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU-912171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist