Organization
JOYFUL LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW S DYKEMA D.O. (SOLE MEMBER / PHYSICIAN)
(808) 345-9841
Entity
Organization
Contact information
Practice address
1248 KINOOLE ST, SUITE 101, HILO, HI 96720-4171
(808) 935-8398
Mailing address
1248 KINOOLE ST, SUITE 101, HILO, HI 96720-4171
(808) 935-8398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DOS-1454
HI
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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