Individual
RYAN TUCKER MIJARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5-5080 KUHIO HWY, SUITE A, HANALEI, HI 96714
(808) 631-2508
Mailing address
PO BOX 953, KILAUEA, HI 96754-0953
(808) 631-2508
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC1365
HI
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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