| Mango Foundation, Inc. | |
|
64-1032 Mamalahoa Hwy Suite 306 Kamuela HI 96743-8441 | |
| (808) 769-5010 | |
| Not Available |
| Full Name | Mango Foundation, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 64-1032 Mamalahoa Hwy, Kamuela, Hawaii |
| Authorized Official Name and Position | Timothy Duerler (BOARD OF DIRECTOR) |
| Authorized Official Contact | 8083516836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mango Foundation, Inc. 64-1032 Mamalahoa Hwy Suite 306 Kamuela HI 96743-8441 Ph: () - | Mango Foundation, Inc. 64-1032 Mamalahoa Hwy Suite 306 Kamuela HI 96743-8441 Ph: (808) 769-5010 |
| NPI Number | 1063954634 |
|---|---|
| Provider Enumeration Date | 11/14/2016 |
| Last Update Date | 11/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063954634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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