| NPI | 1740780949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO PROVENCIO Acupuncturist 808-364-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-08-01 |