Individual
MARI KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1564 N KING ST, HONOLULU, HI 96817-4229
(808) 255-9690
Mailing address
94-1041 KOLIANA ST, WAIPAHU, HI 96797-4310
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-65
HI
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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