Individual
STEPHANIE MAKINO-KAHULI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1786 KINOOLE ST, HILO, HI 96720-5245
(808) 959-5855
(808) 959-2301
Mailing address
PO BOX 6632, HILO, HI 96720-8931
(808) 747-4862
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/19/2020
Last updated
08/31/2020
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