Organization
FOOT CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHIKO SATO APRN (OWNER)
(808) 896-8847
Entity
Organization
Contact information
Practice address
71-1411 PUU KAMANU LN, #82, KAILUA KONA, HI 96740-8334
(808) 896-8847
(808) 325-1035
Mailing address
71-1411 PUU KAMANU LN, #82, KAILUA KONA, HI 96740-8334
(808) 896-8847
(808) 325-1035
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
—
—
261QH0100X
Health Service Clinic/Center
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
788
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000262147
HMSA
HI
Enumeration date
02/28/2007
Last updated
10/26/2010
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