Individual
TIANNA HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, MAC, LAC
Contact information
Practice address
3595 PAPAALOA RD, PAPAALOA, HI 96780-9678
(424) 237-4422
Mailing address
PO BOX 800253, PAPAALOA, HI 96780-0250
(424) 237-4422
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-1238
HI
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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