Individual
SUSAN AIKO WADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 KAMOKILA BLVD STE 355, KAPOLEI, HI 96707-2035
(808) 692-7700
Mailing address
601 KAMOKILA BLVD STE 355, KAPOLEI, HI 96707-2035
(808) 692-7700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
246
HI
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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