Individual
DR. SHANON LEE SIDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D., LAC, LMT
Contact information
Practice address
68-1845 WAIKOLOA RD, SUITE #201, WAIKOLOA, HI 96738-5584
(808) 960-8333
(877) 992-6761
Mailing address
PO BOX 383194, WAIKOLOA, HI 96738-3194
(808) 960-8333
(877) 992-6761
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
989
HI
174400000X
Specialist
MAT-4731
HI
174H00000X
Health Educator
—
—
175F00000X
Naturopath
Primary
171
HI
175L00000X
Homeopath
—
—
Other
Enumeration date
02/07/2008
Last updated
02/12/2014
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