Individual
HARUMI IZUMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 KALAMA ST, B-1, KAILUA, HI 96734-2079
(808) 284-8473
Mailing address
345 KALAMA ST, B-1, KAILUA, HI 96734
(808) 284-8473
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
751168273
HI
1223G0001X
General Practice Dentistry
751168273
HI
146N00000X
Basic Emergency Medical Technician
Primary
751168273
HI
3245S0500X
Children's Substance Abuse Rehabilitation Facility
751168273
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
751168273
—
HI
Enumeration date
12/04/2015
Last updated
12/04/2015
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