Individual
MS. LIZETTE RENE KINZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, BEO
Contact information
Practice address
3537 BALDWIN AVE APT A, MAKAWAO, HI 96768-9545
(808) 573-9081
(808) 573-9081
Mailing address
PO BOX 21, MAKAWAO, HI 96768-0021
(808) 573-9081
(808) 573-9081
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
BEO 16589
HI
171W00000X
Contractor
Primary
MAT 6245
HI
Other
Enumeration date
12/26/2008
Last updated
12/26/2008
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