Organization
HOALA I KE OLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN WENTZEL (CHIEF FINANCIAL OFFICER)
(808) 753-3965
Entity
Organization
Contact information
Practice address
801 S BERETANIA ST, HONOLULU, HI 96813-2501
(808) 753-3935
Mailing address
PO BOX 1540, HONOLULU, HI 96806-1540
(808) 753-3935
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
05/22/2024
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