Individual
CHEYENNE KEIKO FUERTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16-725 KEAAU PAHOA RD, KEAAU, HI 96749-8146
(808) 313-3452
Mailing address
16-725 KEAAU PAHOA RD, KEAAU, HI 96749-8146
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
HI
Other
Enumeration date
05/26/2023
Last updated
05/22/2025
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