Individual
MR. JUSTIN KANESHIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
683 WAIANAE AVE, BLDG 691, SCHOFIELD BARRACKS, HI 96786
(808) 433-8011
Mailing address
94-449 HOKUILI ST, MILILANI, HI 96789-2308
(808) 469-6960
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
847
HI
Other
Enumeration date
05/09/2016
Last updated
07/12/2024
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