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Organization

NURISH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MELANIE LOZANO L.A.CH. (PRACTITIONER)
(808) 214-6160
Entity
Organization

Contact information

Practice address
122 CENTRAL AVE, WAILUKU, HI 96793-1705
(808) 214-6160
(866) 237-5504
Mailing address
PO BOX 1270, WAILUKU, HI 96793-6270
(808) 214-6160
(866) 237-5504

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
1800
PA
174400000X
Specialist
Primary
F-ML2137061
TX
174400000X
Specialist
TX

Other

Enumeration date
02/10/2016
Last updated
02/10/2016
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