| Rochelle S Wagner, Llc | |
|
688 Kinoole St Ste 110a Hilo HI 96720-3868 | |
| (808) 300-6198 | |
| Not Available |
| Full Name | Rochelle S Wagner, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 688 Kinoole St Ste 110a, Hilo, Hawaii |
| Authorized Official Name and Position | Rochelle Sabrina Wagner (OWNER) |
| Authorized Official Contact | 8083006198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rochelle S Wagner, Llc 688 Kinoole St Ste 110a Hilo HI 96720-3868 Ph: (808) 300-6198 | Rochelle S Wagner, Llc 688 Kinoole St Ste 110a Hilo HI 96720-3868 Ph: (808) 300-6198 |
| NPI Number | 1932083458 |
|---|---|
| Provider Enumeration Date | 08/05/2025 |
| Last Update Date | 08/05/2025 |
| Certification Date | 08/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932083458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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