Individual
MARY HUTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
333 NAELE RD, KULA, HI 96790-8750
(808) 878-6739
Mailing address
333 NAELE RD, KULA, HI 96790-8750
(808) 878-6739
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT-801
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055241-01
—
HI
01
—
B6363-2
HMSA
HI
Enumeration date
03/07/2007
Last updated
07/08/2007
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