Individual
SUMMER YAEKO FAJOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
94-521 FARRINGTON HWY, WAIPAHU, HI 96797-3013
(808) 675-0335
Mailing address
94-521 FARRINGTON HWY, WAIPAHU, HI 96797-3013
(808) 675-0335
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1316
HI
Other
Enumeration date
01/08/2019
Last updated
08/29/2019
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