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Organization

LIBERTY DIALYSIS HAWAII LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELISSA-ANN SOUZA (DIRECTOR OF OPERATIONS)
(808) 856-2102
Entity
Organization

Contact information

Practice address
10 HOOHUI RD STE 100, LAHAINA, HI 96761-9257
(808) 669-6628
(808) 669-1272
Mailing address
10 HOOHUI RD STE 100, LAHAINA, HI 96761-9257
(808) 669-6628
(808) 669-1272

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
1060527
WA

Other

Enumeration date
06/30/2015
Last updated
06/30/2015
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