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Individual

DR. SUSAN S HIRAOKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM LLC

Contact information

Practice address
642 ULUKAHIKI ST STE 207, KAILUA, HI 96734-4439
(808) 261-9931
Mailing address
642 ULUKAHIKI ST STE 207, KAILUA, HI 96734-4439
(808) 261-9931

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO-155
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0230664
HMSA
HI
05
501074 01
HI
Enumeration date
07/11/2006
Last updated
03/10/2009
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