| Pukoa Kulia, Llc | |
|
111 Hekili St # A1606 Kailua HI 96734-2800 | |
| (401) 203-4971 | |
| Not Available |
| Full Name | Pukoa Kulia, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 111 Hekili St # A1606, Kailua, Hawaii |
| Authorized Official Name and Position | Jesseca Guerreiro (OWNER) |
| Authorized Official Contact | 4012034971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pukoa Kulia, Llc 111 Hekili St # A1606 Kailua HI 96734-2800 Ph: (401) 203-4971 | Pukoa Kulia, Llc 111 Hekili St # A1606 Kailua HI 96734-2800 Ph: (401) 203-4971 |
| NPI Number | 1083477863 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083477863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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