Provider Demographics
NPI:1427340819
Name:FUIMAONO, HOWIE BLESSING (BA)
Entity type:Individual
Prefix:MR
First Name:HOWIE
Middle Name:BLESSING
Last Name:FUIMAONO
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7995 BLUE DIAMOND RD STE 102-367
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-9301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3652 N RANCHO DR STE 102
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-3178
Practice Address - Country:US
Practice Address - Phone:702-719-9074
Practice Address - Fax:702-998-6270
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner