Organization
KE'ENA MAULIOLA NELE PAIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JD WAILUA BRANDMAN APRN-RX BC (OWNER)
(808) 593-7703
Entity
Organization
Contact information
Practice address
615 PIIKOI ST, SUITE 511, HONOLULU, HI 96814-3116
(808) 593-7703
(808) 593-7703
Mailing address
615 PIIKOI ST, SUITE 511, HONOLULU, HI 96814-3116
(808) 593-7703
(808) 593-7703
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
APRN13
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336100049
NPI
—
05
—
25092001
—
HI
Enumeration date
04/29/2008
Last updated
07/23/2011
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