Individual
MR. FERNANDO MANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75-170 HUALALAI RD, KAILUA KONA, HI 96740-1779
(866) 390-5070
Mailing address
75-170 HUALALAI RD, KAILUA KONA, HI 96740-1779
(866) 390-5070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
132007R
HI
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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