Individual
MARISA MAYUMI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1380 LUSITANA ST STE 604, HONOLULU, HI 96813-2442
(808) 523-2020
Mailing address
1380 LUSITANA ST STE 604, HONOLULU, HI 96813-2442
(808) 523-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
13998
CA
152W00000X
Optometrist
Primary
724
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74327755
—
NM
Enumeration date
07/20/2010
Last updated
04/27/2023
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