Individual
MR. WADE YUKIO MAKIZURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW, CCM
Contact information
Practice address
91-920 OANIANI ST, KAPOLEI, HI 96707-2625
(808) 674-0936
Mailing address
91-920 OANIANI ST, KAPOLEI, HI 96707-2625
(808) 674-0936
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW 553
HI
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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