Organization
MAULIHIWA WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAHELAHO'OPOMAIKA'I BLAKE APRN-RX (OWNER)
(808) 247-9616
Entity
Organization
Contact information
Practice address
46-005 KAWA ST STE 203, KANEOHE, HI 96744-3812
(808) 247-9616
Mailing address
45-468 C-1 KAMEHAMEHA HWY, KANEOHE, HI 96744
(808) 227-5696
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
04/21/2020
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