Individual
JAIDA MARIAH SUMAJIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 CAMPUS RD, HONOLULU, HI 96822-2217
(808) 956-7696
Mailing address
2500 CAMPUS RD, HONOLULU, HI 96822-2217
(808) 388-7243
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
321455
HI
Other
Enumeration date
07/02/2024
Last updated
07/03/2024
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