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Organization

PACIFIC RENAL CARE FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA COLBERT (VICE PRESIDENT - OPERATIONS)
(808) 585-4620
Entity
Organization

Contact information

Practice address
203 HOOHANA ST, SUITE 201, KAHULUI, HI 96732-2476
(808) 893-2532
(808) 893-2533
Mailing address
203 HOOHANA ST, SUITE 201, KAHULUI, HI 96732-2476

Taxonomy

Speciality
Code
Description
License number
State
163WN0300X
Nephrology Registered Nurse
Primary
APRN-813
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
813
APRN LICENSE
HI
Enumeration date
05/22/2007
Last updated
08/22/2020
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