Individual
MR. MATTHEW JOHN IVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2959 UMI ST, LIHUE, HI 96766-1806
(808) 245-2873
Mailing address
322 MAKANI RD APT A, KAPAA, HI 96746-3227
(808) 346-9063
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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