Maui Integrative Medicine
Clinic/Center, Health Services in Wailuku, HI. Organization (NPI-2).
NPI number1164075040
StatusActive
Last updated in NPPESJul 19, 2019
Details
- NPI
- 1164075040
- Entity type
- Organization (NPI-2)
- Legal business name
- Maui Integrative Medicine
- Organization subpart
- No
- Enumeration date
- Jul 19, 2019
- Last updated
- Jul 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
Practice location
233 S Market StWailuku, HI 96793-2218
Phone 310-529-6891
Mailing address
72 Mano DrKula, HI 96790-8527
Phone 310-529-6891
Authorized official
Michelle Kelso Binzak
President
3105296891
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