Individual
CARL MALELE FONOIMOANA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55-533 IOSEPA STREET, LAIE, HI 96762
(808) 224-3423
Mailing address
55-533 IOSEPA STREET, LAIE, HI 96762
(808) 224-3423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
HI
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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