Wailuku Internal Medicine Clinic LLC

NPI #1477305506 in Wailuku, Hawaii

Provider Information

NPI Number: 1477305506
Entity Type: Organization
Organization Name: Wailuku Internal Medicine Clinic LLC
Primary Specialty: Clinic/Center
Enumeration Date: Apr 2, 2024
Last Updated: Jun 26, 2024

Practice Location

Address: 1063 LOWER MAIN ST STE C106
City: Wailuku
State: Hawaii
ZIP Code: 96793-6035
Phone: (808) 242-6478

Authorized Official

Name: DR. MARIA CHARITO GONZALES TERMULO, MD
Title: MANAGER
Phone: (808) 269-3918

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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