Individual
KAUIONALANI LEAH CHIEKO FUKUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
16-179 MELEKAHIWA ST, KEAAU, HI 96749-8026
(808) 969-9994
(808) 982-5272
Mailing address
663 LEILANI ST APT A, HILO, HI 96720-4454
(808) 443-1910
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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