Individual
MS. LARISSA MARIE HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3016 DATE ST APT 5, HONOLULU, HI 96816-1125
(951) 442-1017
Mailing address
3016 DATE ST APT 5, HONOLULU, HI 96816-1125
(951) 442-1017
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-273
HI
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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