BOTOX KAILUA LLC

KAILUA, HI
NPI1841170123
Entity TypeOrganization
Authorized ContactBRIANNA SORTLAND
Owner
808-272-0444
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2025-09-05
Last Update Date2025-09-05
Business Address
BOTOX KAILUA LLC
1005 KEOLU DR
KAILUA, HI 96734-3873
Phone number: 808-272-0444
Mailing Address
BOTOX KAILUA LLC
1005 KEOLU DR
KAILUA, HI 96734-3873
Phone number: 808-272-0444
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