Individual
DR. WALLACE M KOJIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
73-5600 MAIAU ST, KAILUA KONA, HI 96740-2630
(808) 331-8081
(808) 331-8082
Mailing address
73-5600 MAIAU ST, KAILUA KONA, HI 96740-2630
(808) 331-8081
(808) 331-8082
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
250
HI
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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