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Individual

TATE KUSATSU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
550 S BERETANIA ST STE 610, HONOLULU, HI 96813-2496
(808) 691-8514
Mailing address
555 SOUTH ST APT 1308, HONOLULU, HI 96813-5045
(808) 256-0654

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-3019
HI

Other

Enumeration date
09/04/2020
Last updated
09/04/2020
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