Organization
JOSEPHINE WAITE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE DE LA TORRE WAITE MD (OWNER)
(808) 247-3609
Entity
Organization
Contact information
Practice address
916 KILANI AVE, WAHIAWA, HI 96786-2102
(808) 621-5042
Mailing address
916 KILANI AVE, WAHIAWA, HI 96786-2102
(808) 621-5042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
09/19/2008
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