DR LISA TAKETA

MAKAWAO, HI
NPI1093190589
Entity TypeOrganization
Authorized ContactLISA TAKETA
Owner
808-868-8068
Organization Subpart ?No
Primary Taxonomy305S00000X Point of Service
(Licence: HI  acu-338)
Enumeration Date2015-07-25
Last Update Date2015-07-25
Business Address
DR LISA TAKETA
7 AEWA PL
MAKAWAO, HI 96768-8882
Phone number: 808-868-8063
Mailing Address
DR LISA TAKETA
4450 KULA HWY UNIT 264
KULA, HI 96790-3018
Phone number: 808-868-8063