Provider Demographics
NPI:1679094411
Name:SAITO, FELICISIMA MIGUEL
Entity Type:Individual
Prefix:
First Name:FELICISIMA
Middle Name:MIGUEL
Last Name:SAITO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1850
Mailing Address - Street 2:
Mailing Address - City:KEALAKEKUA
Mailing Address - State:HI
Mailing Address - Zip Code:96750-1850
Mailing Address - Country:US
Mailing Address - Phone:808-202-1453
Mailing Address - Fax:808-315-8479
Practice Address - Street 1:81-1018 MELEANA PLACE
Practice Address - Street 2:
Practice Address - City:KEALAKEKUA
Practice Address - State:HI
Practice Address - Zip Code:96750
Practice Address - Country:US
Practice Address - Phone:808-202-1453
Practice Address - Fax:808-315-8479
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-02
Last Update Date:2017-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty