KYLE HIROMI HATANAKA

BOISE, ID
NPI1053960286
Former NameKYLE HIROMI HATANAKA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171100000X Acupuncturist
Enumeration Date2019-09-10
Last Update Date2019-09-10
Business Address
KYLE HIROMI HATANAKA Lac
9450 #120 FAIRVIEW AVENUE
BOISE, ID 83704
Phone number: 530-515-1064
Mailing Address
KYLE HIROMI HATANAKA Lac
5112 NE 47TH PL
PORTLAND, OR 97218-2066
Phone number: 530-515-1064