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1075 Makawao Ave Unit 1841 Makawao HI 96768-3078 | |
| (808) 283-3016 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community Health Worker |
| Location | 1075 Makawao Ave Unit 1841, Makawao, Hawaii |
| Authorized Official Name and Position | Eman'on Fearless Wanderer (FOUNDER/ CEO) |
| Authorized Official Contact | 8082833016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1841 Makawao HI 96768-1841 Ph: (808) 283-3016 | 1075 Makawao Ave Unit 1841 Makawao HI 96768-3078 Ph: (808) 283-3016 |
| NPI Number | 1487479069 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487479069 | NPI | - | NPPES |
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