Individual
ANDREW COLIN FUQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 KUPUOHI ST STE 105, LAHAINA, HI 96761-2714
(808) 661-0077
(808) 661-0177
Mailing address
411 HUKU LII PL STE 101, KIHEI, HI 96753-7062
(808) 879-0077
(808) 879-0177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4640
HI
Other
Enumeration date
09/13/2018
Last updated
07/07/2021
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