MICHAEL R. PALMERSTON

HILO, HI
NPI1083945265
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: HI  305R00000X)
Additional Taxonomies302F00000X Exclusive Provider Organization
(Licence: HI  302F00000X)
Enumeration Date2010-01-27
Last Update Date2010-01-27
Business Address
Mr. MICHAEL R. PALMERSTON BA
77 MOHOULI ST
HILO, HI 96720-4181
Phone number: 808-961-5166
Mailing Address
Mr. MICHAEL R. PALMERSTON BA
72 ANUENUE ST
HILO, HI 96720-9734
Phone number: 808-969-3488