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Organization

SELF CENTERED, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. R S HUNDERTMARK DNP, APRN, PMHNP-C (MANAGER)
(808) 994-6444
Entity
Organization

Contact information

Practice address
647 PAOPUA LOOP, KAILUA, HI 96734-3535
(808) 994-6444
Mailing address
PO BOX 1224, KAILUA, HI 96734-1224
(808) 994-6444

Taxonomy

Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
05/05/2026
Last updated
05/05/2026
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