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Individual

MR. MICHAEL M ZANONI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
1760 S BERETANIA ST APT 14D, HONOLULU, HI 96826-1134
(808) 225-2754
Mailing address
PO BOX 22471, HONOLULU, HI 96823-2471
(808) 225-2754

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC1865
WA
171100000X
Acupuncturist
AC410
OR
171100000X
Acupuncturist
Primary
AC814
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AC159
LICENSE
MT
01
AC1865
LICENSE
WA
01
AC410
LICENSE
OR
01
AC814
LICENSE
HI
Enumeration date
12/02/2006
Last updated
07/11/2007
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