Individual
MS. KUMIKO IMAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1456 THURSTON AVE, APT1104, HONOLULU, HI 96822-3682
(808) 673-1828
Mailing address
1456 THURSTON AVE, APT 1104, HONOLULU, HI 96822-3682
(808) 673-1828
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MAT-13988
HI
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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