ANDREW COLIN FUQUA

LAHAINA, HI
NPI1316420599
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: HI  4640)
Enumeration Date2018-09-13
Last Update Date2021-07-07
Business Address
ANDREW COLIN FUQUA
40 KUPUOHI ST STE 105
LAHAINA, HI 96761-2714
Phone number: 808-661-0077
Mailing Address
ANDREW COLIN FUQUA
411 HUKU LII PL STE 101
KIHEI, HI 96753-7062
Phone number: 808-879-0077