Wallace R. Shrinski, Mft | |
75-127 Lunapule Rd 15b Kailua Kona HI 96740-2119 | |
(808) 987-7306 | |
Not Available |
Full Name | Wallace R. Shrinski, Mft |
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Speciality | Community/behavioral Health |
Location | 75-127 Lunapule Rd, Kailua Kona, Hawaii |
Authorized Official Name and Position | Wallace R Shrinski (OWNER) |
Authorized Official Contact | 8089877306 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wallace R. Shrinski, Mft Po Box 2264 Kealakekua HI 96750-2264 Ph: () - | Wallace R. Shrinski, Mft 75-127 Lunapule Rd 15b Kailua Kona HI 96740-2119 Ph: (808) 987-7306 |
NPI Number | 1003268012 |
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Provider Enumeration Date | 07/01/2016 |
Last Update Date | 07/01/2016 |
Identifier | Type | State | Issuer |
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1003268012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 230 (Hawaii) | Primary |
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