Individual
MS. LISA MICHELLE KERZICNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
12 APA'A PLACE, KAHULUI, HI 96732
(808) 871-9757
Mailing address
12 APA'A PLACE, KAHULUI, HI 96732
(808) 871-9757
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
864716
—
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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