RANDY BRYAN FONSECA

HILO, HI
NPI1780147074
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2019-04-12
Last Update Date2019-04-12
Business Address
RANDY BRYAN FONSECA
622 HINANO ST
HILO, HI 96720-4427
Phone number: 808-589-1829
Mailing Address
RANDY BRYAN FONSECA
PO BOX 2018
VOLCANO, HI 96785-2018
Phone number:
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