Organization
MINDFUL WELLNESS MAUI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA GLADDING MD (OWNER)
(808) 740-8425
Entity
Organization
Contact information
Practice address
95 E LIPOA ST, KIHEI, HI 96753-8194
(808) 463-8231
Mailing address
95 E LIPOA ST STE 209, KIHEI, HI 96753-8191
(808) 740-8425
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
12/07/2017
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