Organization
MAIN STREET PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA MULLEN (OWNER)
(505) 690-3562
Entity
Organization
Contact information
Practice address
64-1061 MAMALAHOA HWY APT 203, KAMUELA, HI 96743-8480
(808) 333-5855
(808) 333-5855
Mailing address
PO BOX 485, PAAUILO, HI 96776-0485
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
About Stedi
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