Colleen Mariko Ichiyama-kong O.D.

NPI 1881631422 - Optometrist - 152W00000X

NPI Details
NPI 1881631422
Gender Female
Enumeration Date 06/01/2006
Last Updated 11/14/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2049 WELLS ST
SUITE #1
WAILUKU HI, 96793-2239, US
Phone (808) 244-8034
Fax (808) 244-8035
Business Location
2049 WELLS ST
SUITE #1
WAILUKU HI, 96793-2239, US
Phone (808) 244-8034
Fax (808) 244-8035
Toxanomy
Taxonomy Code 152W00000X
License State Hawaii
License Number OD478
Remove 1881631422 NPI Number
 

According to our database, Dr. Colleen Mariko Ichiyama-kong O.D. NPI is 1881631422, taxonomy code is 152W00000X and license number is OD478, license state is located at Hawaii. Colleen Mariko Ichiyama-kong O.D. physically located at 2049 Wells St, Wailuku HI, 96793-2239. NPI Number Colleen Mariko Ichiyama-kong O.D. has the Individual type.

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1881631422 NPI number is provided on an as is basis without warranty of any kind. 1881631422 is maintained by the National Plan & Provider Enumeration System. The contents of Colleen Mariko Ichiyama-kong O.D. are for informational purposes only.