Pukoa Kulia, Llc | |
111 Hekili St # A1606 Kailua HI 96734-2800 | |
(401) 203-4971 | |
Not Available |
Full Name | Pukoa Kulia, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 111 Hekili St # A1606, Kailua, Hawaii |
Authorized Official Name and Position | Jesseca Guerreiro (OWNER) |
Authorized Official Contact | 4012034971 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pukoa Kulia, Llc 111 Hekili St # A1606 Kailua HI 96734-2800 Ph: (401) 203-4971 | Pukoa Kulia, Llc 111 Hekili St # A1606 Kailua HI 96734-2800 Ph: (401) 203-4971 |
NPI Number | 1083477863 |
---|---|
Provider Enumeration Date | 02/05/2024 |
Last Update Date | 02/05/2024 |
Certification Date | 02/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083477863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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