Organization
POMAIKAI WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COLLIS VISIT LACY APRN (OWNER)
(702) 523-6615
Entity
Organization
Contact information
Practice address
916 KILANI AVE, WAHIAWA, HI 96786-2102
(808) 621-5042
Mailing address
2008 INTERBAY ST, LAS VEGAS, NV 89128-6799
(808) 621-5042
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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