Individual
MARISSA SUMIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3253 WAIA'AE AVE, HONOLULU, HI 96816
(808) 741-0915
Mailing address
1017 LUAWAI ST, HONOLULU, HI 96816-4658
(808) 741-0915
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2015
Last updated
07/30/2015
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