| Jomarie Tyrrell | |
|
810 Kokomo Rd Ste 245a Haiku HI 96708-5075 | |
| (808) 757-8910 | |
| Not Available |
| Full Name | Jomarie Tyrrell |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 810 Kokomo Rd, Haiku, Hawaii |
| Authorized Official Name and Position | Jomarie Tyrrell (OWNER) |
| Authorized Official Contact | 8087578910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jomarie Tyrrell 810 Kokomo Rd Ste 245a Haiku HI 96708-5075 Ph: (808) 757-8910 | Jomarie Tyrrell 810 Kokomo Rd Ste 245a Haiku HI 96708-5075 Ph: (808) 757-8910 |
| NPI Number | 1346611639 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 10/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346611639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 448 (Hawaii) | Primary |
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