Individual
MARISSA KEIKO TAKASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1356 LUSITANA ST FL 7, HONOLULU, HI 96813-2409
(808) 586-2890
Mailing address
1356 LUSITANA ST STE 510, HONOLULU, HI 96813-2409
(808) 586-2890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-19622
HI
Other
Enumeration date
04/20/2015
Last updated
09/18/2018
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