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Organization

MANUA HEALTH SYSTEM, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MALOUAMAUA PULEISILI TUIOLOSEGA MD,MB,BS,PCP (CHIEF EXECUTIVE OFFICER/CMO)
(684) 770-9264
Entity
Organization

Contact information

Practice address
102 LUMA TAI RD, TA'U VILLAGE, MANU'A ISLAND, AS 96799
(684) 677-3513
(684) 677-3555
Mailing address
41-1300 WAIKUPANAHA ST, WAIMANALO, HI 96795
(808) 259-6309
(808) 440-5606

Taxonomy

Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
3140
AS

Other

Enumeration date
11/15/2012
Last updated
11/15/2012
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