ETHAN LUM

HONOLULU, HI
NPI1801041801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2008-11-18
Last Update Date2008-11-18
Business Address
ETHAN LUM A.T.C
3142 WAIALAE AVE
HONOLULU, HI 96816-1510
Phone number: 808-739-4824
Mailing Address
ETHAN LUM A.T.C
98-149 PUAALII ST
AIEA, HI 96701-2205
Phone number: 808-780-1564
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