Individual
JASON FORTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2395 S. KIHEI RD., SUITE 201, KIHEI, HI 96753
(808) 879-0638
(808) 879-0630
Mailing address
2395 S KIHEI RD, SUITE 201, KIHEI, HI 96753-8635
(808) 879-0638
(808) 879-0630
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC1028
HI
Other
Enumeration date
06/10/2009
Last updated
03/25/2010
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