Organization
HILO URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAQUEL ANN BOROMEO (BILLING AND CREDENTIALING)
(808) 969-3051
Entity
Organization
Contact information
Practice address
45 MOHOULI ST, HILO, HI 96720-7210
(808) 969-3051
Mailing address
45 MOHOULI ST, HILO, HI 96720-7210
(808) 969-3051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN1450
HI
Other
Enumeration date
08/08/2012
Last updated
07/17/2017
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