Organization
HAWAII CARE CONNECT MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA UBANTE RN (CEO)
(808) 439-4729
Entity
Organization
Contact information
Practice address
94-356 WAIPAHU DEPOT ST STE 204, WAIPAHU, HI 96797-3057
(808) 439-4729
Mailing address
94-356 WAIPAHU DEPOT ST STE 204, WAIPAHU, HI 96797-3057
(808) 439-4729
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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