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Individual

TERRY ANN T FUJIOKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
79-7460 MAMALAHOA HWY, SUITE 110, KEALAKEKUA, HI 96750-7917
(808) 324-0434
(808) 324-0129
Mailing address
79-7460 MAMALAHOA HWY, SUITE 110, KEALAKEKUA, HI 96750-7917
(808) 324-0434
(808) 324-0129

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 464
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A0092807
HMSA
HI
05
071367
HI
Enumeration date
07/12/2006
Last updated
08/18/2021
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