Individual
MRS. PRISCILLA FUENTES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
BLDG 556 HEARD STREET, SCHOFIELD BARRACKS, HI 96857-5000
(808) 655-9944
Mailing address
433A OLOMANA ST, KAILUA, HI 96734-2222
(808) 554-4786
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3694
HI
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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