Individual
MR. DERRICK M. SUGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
79-1020 HAUKAPILA ST, KEALAKEKUA, HI 96750-7922
(808) 322-4818
(808) 322-4817
Mailing address
PO BOX 914, KEALAKEKUA, HI 96750-0914
(808) 322-4818
(808) 322-4817
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
539372-18
—
HI
Enumeration date
02/14/2007
Last updated
07/09/2007
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