# PUKALANI CHIROPRACTIC INC

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

## Provider details

- **NPI number:** 1508857632
- **Authorized official:** DR. ANDREW MAIN JANSSEN D.C. (OWNER)
- **Authorized official phone:** (808) 572-5599

## Contact information

- **Practice address:** 7 AEWA PL, SUITE 12, MAKAWAO, HI 96768-8882
- **Practice address phone:** (808) 572-5599
- **Practice address fax:** (808) 572-0394
- **Mailing address:** 7 AEWA PL, SUITE 12, MAKAWAO, HI 96768-8882
- **Mailing address phone:** (808) 572-5599
- **Mailing address fax:** (808) 572-0394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 0000362 | HI | Yes |

## Other

- **Enumeration date:** 10/28/2005
- **Last updated:** 08/22/2020
