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Individual

ANA-MARITZA ITZEL MACY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.L.AC. O.M.D.

Contact information

Practice address
2490 KALAKAUA AVE, 4TH. FLOOR, HONOLULU, HI 96815-3240
(808) 441-4890
Mailing address
94-035 KUAHELANI AVE, APT.125, MILILANI, HI 96789-1759
(808) 778-2848

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
663
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
663
ACUPUNCTURE LICENCE
HI
01
MM1041953
ASH PROVIDER
HI
Enumeration date
11/09/2006
Last updated
07/08/2007
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