Liberty Dialysis Hawaii LLC

NPI #1487037206 in Lahaina, Hawaii

Provider Information

NPI Number
1487037206
Entity Type
Organization
Organization Name
Liberty Dialysis Hawaii LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jun 30, 2015
Last Updated
Jun 30, 2015

Practice Location

Address
10 HOOHUI RD STE 100
State
Hawaii
ZIP Code
96761-9257
Phone
(808) 669-6628

Authorized Official

Name
MRS. MELISSA-ANN SOUZA
Title
DIRECTOR OF OPERATIONS
Phone
(808) 856-2102

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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