Organization
WAILUKU INTERNAL MEDICINE CLINIC LLC
Active
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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