CHASE KEN MITSUDA

HONOLULU, HI
NPI1760426944
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2006-06-16
Last Update Date2007-07-08
Business Address
Mr. CHASE KEN MITSUDA ATC
2445 KAALA STREET MID PACIFIC INSTITUTE
HONOLULU, HI 96822-2299
Phone number: 808-973-5091
Mailing Address
Mr. CHASE KEN MITSUDA ATC
45-697 KAMEHAMEHA HWY APT # 207
KANEOHE, HI 96744-2053
Phone number: