Healthcare Provider Details

I. General information

NPI: 1417869629
Provider Name (Legal Business Name): LIEZL ALINSUNURIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46-038 HEEIA ST
KANEOHE HI
96744-3603
US

IV. Provider business mailing address

1437 MALUAWAI ST
PEARL CITY HI
96782-2060
US

V. Phone/Fax

Practice location:
  • Phone: 808-900-2648
  • Fax:
Mailing address:
  • Phone: 808-382-7522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: