Provider Demographics
NPI:1851067011
Name:TOYOFUKU, ANNE KIMI TAMASHIRO
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:KIMI TAMASHIRO
Last Name:TOYOFUKU
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 1:46-318 HAIKU RD APT 50
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3548
Mailing Address - Country:US
Mailing Address - Phone:808-372-0269
Mailing Address - Fax:
Practice Address - Street 1:46-318 HAIKU RD APT 50
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3548
Practice Address - Country:US
Practice Address - Phone:808-372-0269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW30561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical