HAWAII DERMATOPATHOLOGY LLC
Medical Laboratory at Holopono St, Wailea, HI

License number
Hawaii 12D2120536
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: AMY KERSTEN REISENAUER MD
Title: LAB DIRECTOR/OWNER
Phone: (808) 264-2293
Address
Address
1300 N Holopono St STE 214, Wailea, HI 96753
National Provider ID: 1780120709
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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