Individual
ANDREA MARIE IPSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
766 HAO ST, HONOLULU, HI 96821-1652
(808) 382-4611
Mailing address
766 HAO ST, HONOLULU, HI 96821-1652
(808) 382-4611
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1124
HI
225700000X
Massage Therapist
10984
HI
Other
Enumeration date
05/11/2015
Last updated
05/12/2015
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