Individual
MR. CHASE KEN MITSUDA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2445 KAALA STREET, MID PACIFIC INSTITUTE, HONOLULU, HI 96822-2299
(808) 973-5091
Mailing address
45-697 KAMEHAMEHA HWY, APT # 207, KANEOHE, HI 96744-2053
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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