Individual
BRIANNE KUSAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
94-1231 KA UKA BLVD, WAIPAHU, HI 96797-4495
(503) 352-2020
Mailing address
94-1231 KA UKA BLVD, WAIPAHU, HI 96797-4495
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD-1036
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2024
Last updated
07/16/2024
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