Individual
MS. HAYLEY ROSE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
114 MAIN CAMP, KAHUKU, HI 96731
(609) 206-4316
Mailing address
53-480 KAMEHAMEHA HWY APT G, HAUULA, HI 96717-9717
(609) 206-4316
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1346
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BEZ-AAC-1001
AMERICAN ACUPUNCTURE COUNCIL
HI
Enumeration date
06/08/2022
Last updated
06/08/2022
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