Individual
LEONA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 HINANO STREET, HILO, HI 96720
(808) 969-1935
(808) 969-3276
Mailing address
622 HINANO STREET, HILO, HI 96720
(808) 969-1935
(808) 969-3276
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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