Individual
KEVIN MASAO IWASAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Contact information
Practice address
45 MOHOULI ST, HILO, HI 96720-7210
(808) 934-3003
(808) 935-3783
Mailing address
45 MOHOULI ST, HILO, HI 96720-7210
(808) 934-3003
(808) 935-3783
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-2407
HI
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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