MAVIS A MIZUMOTO

HONOLULU, HI
NPI1396895900
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: HI  PSY-481)
Enumeration Date2007-01-12
Last Update Date2017-01-30
Business Address
-- MAVIS A MIZUMOTO Ph.D.
1268 YOUNG ST STE 200
HONOLULU, HI 96814-1801
Phone number: 808-735-2378
Mailing Address
-- MAVIS A MIZUMOTO Ph.D.
2603 PETER ST
HONOLULU, HI 96816-2013
Phone number: 808-735-2378
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