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Individual

DR. GERALD M MATSUDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
30 AULIKE ST, SUITE 102, KAILUA, HI 96734-2707
(808) 262-8107
(808) 262-8108
Mailing address
30 AULIKE ST, SUITE 102, KAILUA, HI 96734-2707
(808) 262-8107
(808) 262-8108

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
184
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01360601
HI
Enumeration date
11/20/2006
Last updated
05/15/2012
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