Individual
JOAN T MATSUOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., M.N.,CFM
Contact information
Practice address
1329 LUSITANA ST, SUITE 706, HONOLULU, HI 96813-2429
(808) 988-8004
(808) 536-2931
Mailing address
3009 MANOA RD, HONOLULU, HI 96822-1226
(808) 988-8004
(808) 536-2931
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07246701
—
HI
01
—
201391
HEALTH MANAGEMENT ASSOC.
HI
01
—
9422-7
HAWAII MED. SERV. ASSOC.
HI
01
—
Z1627
QUEEN'S HEALTH CARE PLAN
HI
Enumeration date
12/17/2006
Last updated
07/08/2007
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