Organization
SUPREME WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNYN MATSUMOTO (PRACTITIONER)
(808) 294-2632
Entity
Organization
Contact information
Practice address
1001 WAIMANU ST # D, HONOLULU, HI 96814-3411
(808) 294-2632
Mailing address
665 HALEKAUWILA ST APT 2004, HONOLULU, HI 96813-5914
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/17/2023
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