Organization
DISU HAWAII INC
Active
Parent organization
DISU HAWAII INC
Other names
ATHENA CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DISU HAWAII INC
Authorized official
DIANNE HOM (CREDENTIALING)
(808) 282-9676
Entity
Organization
Contact information
Practice address
1319 PUNAHOU ST STE 1070, HONOLULU, HI 96826-1081
(808) 944-8551
Mailing address
1319 PUNAHOU ST STE 1070, HONOLULU, HI 96826-1081
(808) 944-8551
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
05/02/2023
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