| NPI | 1235549056 |
|---|---|
| Former Legal Business Name | HAWAII PODIATRY LLC |
| Entity Type | Organization |
| Authorized Contact | LIANE J WATANABE Owner/President 808-726-2161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: HI PO-196) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2019-05-29 |