| |
99-209 Moanalua Rd Ste 314, Aiea, HI 96701-4042 | |
(808) 797-8721 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Health & Wellness Coach |
Location | 99-209 Moanalua Rd Ste 314, Aiea, Hawaii |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831952555 | NPI | - | NPPES |
1053859603 | Medicaid | HI | |
1477299485 | Medicaid | HI |
Mailing Address | Practice Location Address |
---|---|
5909 Gannet Ave # B, Ewa Beach, HI 96706-3211 Ph: (808) 797-8721 | 99-209 Moanalua Rd Ste 314, Aiea, HI 96701-4042 Ph: (808) 797-8721 |