| Wailuku Internal Medicine Clinic Llc | |
|
1063 Lower Main St Ste C106 Wailuku HI 96793-6035 | |
| (808) 242-6478 | |
| Not Available |
| Full Name | Wailuku Internal Medicine Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1063 Lower Main St Ste C106, Wailuku, Hawaii |
| Authorized Official Name and Position | Maria Charito Gonzales Termulo (MANAGER) |
| Authorized Official Contact | 8082693918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wailuku Internal Medicine Clinic Llc 1063 Lower Main St Ste C106 Wailuku HI 96793-6035 Ph: (808) 242-6478 | Wailuku Internal Medicine Clinic Llc 1063 Lower Main St Ste C106 Wailuku HI 96793-6035 Ph: (808) 242-6478 |
| NPI Number | 1477305506 |
|---|---|
| Provider Enumeration Date | 04/02/2024 |
| Last Update Date | 06/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477305506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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