Individual
BRAXTON SEIYA FUKUTOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2828 PAA ST, HONOLULU, HI 96819-4430
(808) 432-5777
Mailing address
2828 PAA ST, HONOLULU, HI 96819-4430
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDR-7736
HI
Other
Enumeration date
06/10/2019
Last updated
03/10/2025
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