Organization
DM WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANEEN MAHEALANI AGOSTO PHD (OWNER)
(808) 222-8515
Entity
Organization
Contact information
Practice address
590 FARRINGTON HWY SUITE #524-453, KAPOLEI, HI 96792-2009
(808) 222-8515
Mailing address
590 FARRINGTON HWY STE 524-453, KAPOLEI, HI 96707-2009
(808) 222-8515
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHC 390
HI
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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