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Individual

MR. JOHN M. WAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
401 KAMOKILA BLVD, KAPOLEI, HI 96707
(084) 323-6008
Mailing address
401 KAMOKILA BLVD, KAPOLEI, HI 96707
(084) 323-6008

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD-962
HI
363A00000X
Physician Assistant
PA51635
CA

Other

Enumeration date
06/02/2014
Last updated
05/24/2021
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