Individual
KAUALIILIIMAIKALANI MAYUMI SEGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
67-170 FARRINGTON HWY, WAIALUA, HI 96791-9605
(808) 307-2400
Mailing address
94-167 AWAMOKU ST, WAIPAHU, HI 96797-3244
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-328
HI
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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