OUTREACH MEDICAL GROUP DOWNTOWN LLC

HONOLULU, HI
NPI1659080901
Entity TypeOrganization
Authorized ContactDEREK M TENGAN
Member
808-845-5550
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2022-11-15
Last Update Date2023-08-02
Business Address
OUTREACH MEDICAL GROUP DOWNTOWN LLC
928 NUUANU AVE # 1-C
HONOLULU, HI 96817-5190
Phone number: 808-845-5550
Mailing Address
OUTREACH MEDICAL GROUP DOWNTOWN LLC
94-449 AKOKI ST STE 104
WAIPAHU, HI 96797-2732
Phone number:
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