Organization
HAWAII WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMIAN SMITH (OWNER)
(808) 591-9339
Entity
Organization
Contact information
Practice address
1314 S KING ST STE 1655, HONOLULU, HI 96814-1950
(808) 591-9339
(808) 591-9343
Mailing address
1314 S KING ST STE 1653, HONOLULU, HI 96814-1950
(808) 591-9339
(808) 591-9343
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/06/2016
Last updated
01/28/2019
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