GAVIN-JOHN K MATA

HILO, HI
NPI1831462811
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2012-02-21
Last Update Date2012-02-21
Business Address
-- GAVIN-JOHN K MATA
2706 PULIMA DR
HILO, HI 96720-1331
Phone number: 808-961-5166
Mailing Address
-- GAVIN-JOHN K MATA
2706 PULIMA DR
HILO, HI 96720-1331
Phone number: 808-961-5166