Most Relevant Information
Provider Data
| NPI Number: | 1003075342 |
| Provider Name: | QUINCIE K. BURGESS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/02/2008 |
| Last Updated: | 12/08/2010 |
Provider Practice Location
85-979 MILL ST
WAIANAE
HI
967922645
Practice Location Phone/Fax
| Phone: | 8086969498 |
| Fax: | 8086969403 |
Provider Mailing Location
86-226 FARRINGTON HWY
WAIANAE
HI
967923128
Provider Mailing Phone/Fax
| Phone: | 8086964211 |
| Fax: | 8086965516 |