Organization
PACIFIC BREEZE GYN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA FARLEY CNM (CNM)
(808) 245-7100
Entity
Organization
Contact information
Practice address
4473 PAHEE ST, SUITE R, LIHUE, HI 96766-2037
(808) 245-7100
(808) 245-9881
Mailing address
PO BOX 3949, LIHUE, HI 96766-6949
(808) 245-7100
(808) 245-9881
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54126007
—
HI
Enumeration date
08/24/2007
Last updated
08/24/2007
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