Individual
MISS BERNADETTE JENNIE KOVACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
40 N MARKET ST, WAILUKU, HI 96793-1718
(808) 242-8788
Mailing address
38 LEIHULU WAY, KULA, HI 96790-8283
(808) 280-0306
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MAT11073
HI
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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