Individual
MIKA L YAMAZAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
95-151 PALI MOMI STREET, AIEA, HI 96701
(808) 483-6400
Mailing address
95-151 PALI MOMI STREET, AIEA, HI 96701
(808) 483-6400
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
15644
HI
Other
Enumeration date
05/09/2008
Last updated
06/28/2011
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