# PURE LIFE CHIROPRACTIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316232283
- **Authorized official:** DR. NICOLE C HOOVER D.C. (DOCTOR OF CHIROPRACTIC)
- **Authorized official phone:** (808) 887-1324

## Contact information

- **Practice address:** 65-1298B KAWAIHAE RD, STE 1, KAMUELA, HI 96743-7342
- **Practice address phone:** (808) 887-1324
- **Mailing address:** 65-1298B KAWAIHAE RD, STE 1, KAMUELA, HI 96743-7342
- **Mailing address phone:** (808) 887-1324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1195 | HI | — |
| 111N00000X | Chiropractor | 1196 | HI | Yes |

## Other

- **Enumeration date:** 06/17/2011
- **Last updated:** 06/17/2011