| NPI | 1528576436 |
|---|---|
| Doing Business As | KOA CLINIC OF INTEGRATIVE HEALING |
| Entity Type | Organization |
| Authorized Contact | CORINNE MAUL DE SOTO President 808-638-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: HI 258) |
| Additional Taxonomies | 208D00000X General Practice |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2023-04-19 |