Community Clinic of Maui, Inc.

NPI #1689814055 in Wailuku, Hawaii

Provider Information

NPI Number
1689814055
Entity Type
Organization
Organization Name
Community Clinic of Maui, Inc.
Primary Specialty
Clinic/Center
Enumeration Date
Feb 25, 2009
Last Updated
Apr 12, 2024

Practice Location

Address
1881 NANI STREET
State
Hawaii
ZIP Code
96793
Phone
(808) 873-6305

Authorized Official

Name
BETTY JANE OTT
Title
CHIEF EXECUTIVE OFFICER
Phone
(808) 872-4018

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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