Provider Demographics
NPI:1548509953
Name:FIEDERER, HELGA (LMT)
Entity type:Individual
Prefix:MS
First Name:HELGA
Middle Name:
Last Name:FIEDERER
Suffix:
Gender:F
Credentials:LMT
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 790761
Mailing Address - Street 2:
Mailing Address - City:PAIA
Mailing Address - State:HI
Mailing Address - Zip Code:96779-0761
Mailing Address - Country:US
Mailing Address - Phone:808-250-6709
Mailing Address - Fax:
Practice Address - Street 1:95 MAKAWAO AVE
Practice Address - Street 2:UNIT 102 A
Practice Address - City:PUKALANI
Practice Address - State:HI
Practice Address - Zip Code:96788
Practice Address - Country:US
Practice Address - Phone:808-250-6709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT 8004174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist