Organization
BODY MIND & SOUL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA BUI D.C. (PRESIDENT)
(808) 524-8588
Entity
Organization
Contact information
Practice address
31 S BERETANIA ST, HONOLULU, HI 96813-2220
(808) 524-8588
(808) 564-0020
Mailing address
31 S BERETANIA ST, HONOLULU, HI 96813-2220
(808) 524-8588
(808) 564-0020
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
13716
HI
302R00000X
Health Maintenance Organization
13794
HI
302R00000X
Health Maintenance Organization
Primary
14643
HI
302R00000X
Health Maintenance Organization
5452
HI
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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