Organization
LIFE FITNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRI MUSCARELLA (GROUP ADMINISTRATOR)
(808) 891-1411
Entity
Organization
Contact information
Practice address
411 HUKU LII PL, #302, KIHEI, HI 96753-7062
(808) 891-1411
(808) 891-1422
Mailing address
411 HUKU LII PL, #302, KIHEI, HI 96753-7062
(808) 891-1411
(808) 891-1422
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1130
HI
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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