Individual
MRS. SKY LEE SACAY LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
79-7452 A MAMALAHOA HWY., KEALAKEKUA, HI 96750-2346
(808) 936-2252
(808) 322-0694
Mailing address
PO BOX 2346, KEALAKEKUA, HI 96750-2346
(808) 936-2252
(808) 322-0694
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9270
HI
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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