Individual
LISA M C FUKUMITSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 WAIANUENUE AVE, SUITE 215, HILO, HI 96720-2418
(808) 935-7949
(808) 934-8318
Mailing address
234 WAIANUENUE AVE, SUITE 215, HILO, HI 96720-2418
(808) 935-7949
(808) 934-8318
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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