Organization
KUPUKUPU CENTER FOR ARTS AND HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JOERKE L.M.T. (LICENSED MASSAGE THERAPIST)
(808) 965-6307
Entity
Organization
Contact information
Practice address
15-2958 PAHOA VILLAGE RD, PAHOA, HI 96778
(808) 965-6307
Mailing address
PO BOX 1864, PAHOA, HI 96778-1864
(808) 965-6307
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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