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Organization
AVIVA LLC
Active
Organization
AVIVA LLC
Active
Other names
AVIVA ACUPUNCTURE
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MELISSA PULICICCHIO LICENSED ACUPUNCTURI (OWNER)
(808) 797-8721
Entity
Organization
Contact information
Practice address
99-209 MOANALUA RD STE 314, AIEA, HI 96701-4042
(808) 797-8721
Mailing address
5909 GANNET AVE # B, EWA BEACH, HI 96706-3211
(808) 797-8721
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
171400000X
Health & Wellness Coach
Primary
—
—
225700000X
Massage Therapist
—
—
261QB0400X
Birthing Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053859603
—
HI
05
—
1477299485
—
HI
Enumeration date
02/05/2024
Last updated
10/31/2024
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