Individual
DARRELL FETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
79-1019 HAUKAPILA ST, KEALAKEKUA, HI 96750-7920
(808) 333-6604
Mailing address
81-912 HALEKII ST, KEALAKEKUA, HI 96750-7109
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN-96679
HI
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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