Most Relevant Information
Provider Data
| NPI Number: | 1003067901 |
| Provider Name: | JOERG PAULA LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 3013 |
Most Important Dates
| Enumeration Date: | 10/09/2008 |
| Last Updated: | 10/09/2008 |
Provider Practice Location
27 ALAU STREET
HANA
HI
96713
Practice Location Phone/Fax
| Phone: | 8083442785 |
| Fax: | 8082487228 |
Provider Mailing Location
PO BOX 364
HANA
HI
967130364
Provider Mailing Phone/Fax
| Phone: | 8083442785 |
| Fax: | 8082487228 |