Individual
KAIULANI WILSON MORIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD FACS
Contact information
Practice address
12615 E MISSION AVE STE 105, SPOKANE VALLEY, WA 99216-1047
(509) 315-4415
(509) 315-8204
Mailing address
12615 E MISSION AVE STE 105, SPOKANE VALLEY, WA 99216-1047
(509) 315-4415
(509) 315-8204
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD00036728
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8394512
—
WA
Enumeration date
08/23/2005
Last updated
07/17/2014
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