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84-1170 Farrington Hwy Waianae HI 96792-2060 | |
| (808) 721-0745 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 84-1170 Farrington Hwy, Waianae, Hawaii |
| Authorized Official Name and Position | Raquel B Nakahara (FINANCIAL RESOURCE SPECIALIST) |
| Authorized Official Contact | 8085907320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 3378 Honolulu HI 96801-3378 Ph: (808) 590-7320 | 84-1170 Farrington Hwy Waianae HI 96792-2060 Ph: (808) 721-0745 |
| NPI Number | 1770747131 |
|---|---|
| Provider Enumeration Date | 07/15/2008 |
| Last Update Date | 06/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770747131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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