Individual
MRS. ASAKO MIYAZAKI MICHAELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS.,MAT-13954
Contact information
Practice address
221 PIIKEA AVE, KIHEI, HI 96753-8268
(808) 268-2684
(866) 799-7374
Mailing address
129 HONE ST, KAHULUI, HI 96732-1421
(808) 250-8177
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MAT-13954
HI
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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