Individual
LARISSA GEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
73-1507 HAO ST, KAILUA KONA, HI 96740-9133
(920) 265-5584
Mailing address
73-1507 HAO ST, KAILUA KONA, HI 96740-9133
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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