Main Street Pediatrics LLC

NPI #1821771353 in Kamuela, Hawaii

Provider Information

NPI Number
1821771353
Entity Type
Organization
Organization Name
Main Street Pediatrics LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Aug 10, 2023
Last Updated
Aug 10, 2023

Practice Location

Address
64-1061 MAMALAHOA HWY APT 203
State
Hawaii
ZIP Code
96743-8480
Phone
(808) 333-5855

Authorized Official

Name
JANA MULLEN
Title
OWNER
Phone
(505) 690-3562

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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