Organization
BRENDA M.K. CAMACHO M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA MICHIKO CAMACHO M.D. (PHYSICIAN)
(808) 935-1621
Entity
Organization
Contact information
Practice address
615 PONAHAWAI ST STE 201, HILO, HI 96720-7665
(808) 935-1621
(808) 935-5959
Mailing address
615 PONAHAWAI ST, HILO, HI 96720-7665
(808) 935-1621
(808) 935-5959
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD9518
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002084-02
—
HI
Enumeration date
01/04/2011
Last updated
04/18/2024
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