| Tia Wang Llc | |
|
319 N Cane St Wahiawa HI 96786-2130 | |
| (808) 258-9362 | |
| Not Available |
| Full Name | Tia Wang Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 319 N Cane St, Wahiawa, Hawaii |
| Authorized Official Name and Position | Tia Wang (OWNER) |
| Authorized Official Contact | 8082589362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tia Wang Llc Po Box 987 Haleiwa HI 96712-0987 Ph: () - | Tia Wang Llc 319 N Cane St Wahiawa HI 96786-2130 Ph: (808) 258-9362 |
| NPI Number | 1245772334 |
|---|---|
| Provider Enumeration Date | 11/07/2016 |
| Last Update Date | 11/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245772334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | PSY-1281 (Hawaii) | Primary |
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