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Organization

ALQUERO FAMILY CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ARLENE G TOLENTINO (MANAGER)
(808) 255-8164
Entity
Organization

Contact information

Practice address
94-141 PUPUPUHI ST, WAIPAHU, HI 96797-2510
(808) 676-2271
(808) 678-1894
Mailing address
94-141 PUPUPUHI ST, WAIPAHU, HI 96797-2510
(808) 676-2271
(808) 678-1894

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
HI
Enumeration date
08/17/2017
Last updated
07/21/2022
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