Provider Demographics
NPI:1932974581
Name:FREITAS, FAITH LEINAALA
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:LEINAALA
Last Name:FREITAS
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 1:46-352 HAIKU PLANTATIONS DR
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-4206
Mailing Address - Country:US
Mailing Address - Phone:808-294-2994
Mailing Address - Fax:
Practice Address - Street 1:1016 KAPAHULU AVE STE 175
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-1353
Practice Address - Country:US
Practice Address - Phone:808-927-8966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier