Individual
MR. GAKU YAMAGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1438 KILAUEA AVE, HILO, HI 96720-4286
(808) 969-9220
Mailing address
1438 KILAUEA AVE, HILO, HI 96720-4286
(808) 969-9220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-19597
HI
Other
Enumeration date
07/07/2015
Last updated
12/19/2018
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