Mahinakealo, LLC

NPI #1144844473 in Hilo, Hawaii

Provider Information

NPI Number: 1144844473
Entity Type: Organization
Organization Name: Mahinakealo, LLC
Primary Specialty: Dermatology
Enumeration Date: Jun 2, 2020
Last Updated: Oct 12, 2022

Practice Location

Address: 670 PONAHAWAI ST STE 224
City: Hilo
State: Hawaii
ZIP Code: 96720-7829
Phone: (808) 300-1064

Authorized Official

Name: DR. JONATHAN WALSH, PHD
Title: PRACTICE MANAGER
Phone: (808) 300-1064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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