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Individual

JORDAN Y. K. PEDERSEN-FUKUNAGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
944 W KAWAILANI ST, HILO, HI 96720-3298
(808) 959-9151
Mailing address
PO BOX 626, VOLCANO, HI 96785-0626

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
92279
HI

Other

Enumeration date
03/30/2022
Last updated
03/30/2022
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