Organization
MOEMALU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIGAYA STICE M.D. (OWNER)
(808) 536-0300
Entity
Organization
Contact information
Practice address
1319 PUNAHOU ST, KAPIOLANI MEDI CTR WOMEN & CHILDREN, HONOLULU, HI 96826-1001
(808) 983-6000
Mailing address
PO BOX 25668, HONOLULU, HI 96825-0668
(808) 536-0300
(808) 536-0320
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13613
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
576332
—
HI
05
—
576332-02
—
HI
Enumeration date
05/26/2006
Last updated
04/23/2010
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