Provider Demographics
NPI:1831980648
Name:ORACLE WOUND TREATMENT LLC
Entity type:Organization
Organization Name:ORACLE WOUND TREATMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:YUKEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-619-4931
Mailing Address - Street 1:207 E WAKEA AVE # 2-D
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-2444
Mailing Address - Country:US
Mailing Address - Phone:407-619-4931
Mailing Address - Fax:
Practice Address - Street 1:207 E WAKEA AVE # 2-D
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2444
Practice Address - Country:US
Practice Address - Phone:407-619-4931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty