Individual
MARISSA HELENE FAKAOSITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1319 PUNAHOU ST FL 7, HONOLULU, HI 96826-1001
(808) 369-1200
Mailing address
1319 PUNAHOU ST FL 7, HONOLULU, HI 96826-1001
(808) 369-1200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18143
HI
208000000X
Pediatrics Physician
R73239
AZ
Other
Enumeration date
06/15/2012
Last updated
06/09/2015
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