Organization
INTELERETINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC HANNUM (PRESIDENT)
(808) 277-6816
Entity
Organization
Contact information
Practice address
1010 S KING ST STE 222, HONOLULU, HI 96814-1701
(808) 277-6816
Mailing address
PO BOX 31000 MAIL CODE 5769, HONOLULU, HI 96849-5769
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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