EZRA IMIPONO SHERIDAN

KAHUKU, HI
NPI1891589016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225C00000X Rehabilitation Counselor
Enumeration Date2025-04-04
Last Update Date2025-04-04
Business Address
Mr. EZRA IMIPONO SHERIDAN
56-660 KAMEHAMEHA HWY
KAHUKU, HI 96731-2210
Phone number: 877-393-7555
Mailing Address
Mr. EZRA IMIPONO SHERIDAN
59-448 KAMEHAMEHA HWY
HALEIWA, HI 96712-9624
Phone number: