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NPI Code Detail

MEDICARE: WALTER REED LLC

MEDICARE: WALTER REED LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1851022263
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALTER REED LLC
Provider Business Mailing Address
First Line : PO BOX 987
Second Line :
City : HALEIWA
State : HI
Zip : 96712-0987
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 99-128 AIEA HEIGHTS DR STE 704
Second Line :
City : AIEA
State : HI
Zip : 96701-3940
Country : US
Telephone Number : 808-852-9646
Fax Number :
Authorized Official
Title or Position : OWNER
Name : WALTER REED
Credential :
Telephone Number : 808-852-9646
Provider Enumeration Date : 06/17/2022
Last Update Date : 06/17/2022

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Directions to “WALTER REED LLC ” Practice Location

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