Individual
CLEO KAIAKI MAEHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 NORTH WOLFE STREET, JHOC 3235A, BALTIMORE, MD 21287
(410) 955-8450
Mailing address
421 S. VAN NESS AVE, 15, LOS ANGELES, CA 90020
(213) 453-0481
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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