Individual
TARA MATTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
1188 BISHOP ST, SUITE 1509, HONOLULU, HI 96813-3301
(808) 222-3074
Mailing address
1188 BISHOP ST STE 1509, HONOLULU, HI 96813-3306
(808) 222-3074
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
863
HI
Other
Enumeration date
03/06/2010
Last updated
03/06/2010
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