Individual
TIFFANY FUERTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1247 KINOOLE ST, HILO, HI 96720-4127
(808) 498-3776
Mailing address
1247 KINOOLE ST, HILO, HI 96720-4127
(808) 498-3776
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-3139-0
HI
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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