Individual
MR. VICTOR SEPI FONOIMOANA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
55-562 MOANA ST, LAIE, HI 96762-1233
(808) 744-8952
Mailing address
55-562 MOANA ST, LAIE, HI 96762-1233
(808) 744-8952
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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