BRAXTON SEIYA FUKUTOMI

HONOLULU, HI
NPI1053970350
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: HI  MDR-7736)
Enumeration Date2019-06-10
Last Update Date2019-06-10
Business Address
BRAXTON SEIYA FUKUTOMI
2828 PAA ST
HONOLULU, HI 96819-4430
Phone number: 808-432-5777
Mailing Address
BRAXTON SEIYA FUKUTOMI
2828 PAA ST
HONOLULU, HI 96819-4430
Phone number:
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