Individual
BLOSSOM FONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
93 KOHOLA ST, HILO, HI 96720-4376
(808) 930-3828
Mailing address
86-226 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 696-4211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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