Individual
THERESA FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3-3420 KUHIO HWY STE B, LIHUE, HI 96766-1098
(808) 246-1357
Mailing address
706 TRAVELER LN, MADISON, WI 53718-3142
(608) 225-7238
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD780
HI
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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