Mark Fomenko

NPI 1609022912 - Counselor - 101YP2500X

NPI Details
NPI 1609022912
Gender Male
Enumeration Date 08/18/2008
Last Updated 08/18/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
357 WAIANUENUE AVE
HILO HI, 96720-2439, US
Phone (808) 589-1829
Fax (808) 589-2610
Business Location
357 WAIANUENUE AVE
HILO HI, 96720-2439, US
Phone (808) 589-1829
Fax (808) 589-2610
Toxanomy
Taxonomy Code 101YP2500X
License State
License Number
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According to our database, Mark Fomenko NPI is 1609022912, taxonomy code is 101YP2500X Mark Fomenko physically located at 357 Waianuenue Ave, Hilo HI, 96720-2439. NPI Number Mark Fomenko has the Individual type.

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1609022912 NPI number is provided on an as is basis without warranty of any kind. 1609022912 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Fomenko are for informational purposes only.