Organization
WAILUKU INTERNAL MEDICINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA CHARITO GONZALES TERMULO MD (MANAGER)
(808) 269-3918
Entity
Organization
Contact information
Practice address
1063 LOWER MAIN ST STE C106, WAILUKU, HI 96793-6035
(808) 242-6478
Mailing address
1063 LOWER MAIN ST STE C106, WAILUKU, HI 96793-6035
(808) 242-6478
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
06/26/2024
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