Organization · NPI-2

Institute For Antiaging Studies

Clinic/Center · Kihei, HI

NPI number1891031951
StatusActive
Last updated in NPPESDec 18, 2012

Details

NPI
1891031951
Entity type
Organization (NPI-2)
Legal business name
Institute For Antiaging Studies
Organization subpart
No
Enumeration date
Dec 18, 2012
Last updated
Dec 18, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Centerph2962HIYes

Practice location

214 Luakaha Cir
Kihei, HI 96753

Phone 808-276-3381 · Fax 800-593-8450

Mailing address

214 Luakaha Cir
Kihei, HI 96753-8287

Phone 808-276-3381 · Fax 800-593-8450

Authorized official

Maria Minichino
Ceo
8082763381

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