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Organization
HAWAII CARE CONNECT MEDICAL GROUP LLC
Active
Organization
HAWAII CARE CONNECT MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA UBANTE RN (CEO)
(808) 439-4729
Entity
Organization
Contact information
Practice address
94-356 WAIPAHU DEPOT ST STE 204, WAIPAHU, HI 96797-3057
(808) 439-4729
Mailing address
94-356 WAIPAHU DEPOT ST STE 204, WAIPAHU, HI 96797-3057
(808) 439-4729
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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