Individual
THERESA ANN GUINASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
200 IKE DR, MAKAWAO, HI 96768-9718
(808) 579-8414
Mailing address
3306 KEHA DR, KIHEI, HI 96753-9323
(808) 866-3761
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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