Organization
SUPERLIFE INC
Active
Other names
TAIJI ACUPUNCTURE AND HERBS
Organization subpart
No
Provider details
NPI number
Authorized official
TIM HARVEY L.AC., DIPL.OM (PRESIDENT)
(408) 648-9120
Entity
Organization
Contact information
Practice address
2228 LILIHA ST STE 101, HONOLULU, HI 96817-1651
(808) 758-3456
Mailing address
5095 NAPILIHAU ST., STE. 109B #303, LAHAINA, HI 96761
(808) 758-3456
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
09/29/2022
Last updated
10/11/2023
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