Individual
ANDREA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
72-3996 HAWAII BELT RD, KAILUA KONA, HI 96740-8608
(808) 319-8808
Mailing address
64-5280 PUU NANEA ST, KAMUELA, HI 96743-8125
(808) 319-8808
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1309
HI
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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