Individual
TANISHA WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., DIPL.OM
Contact information
Practice address
15-1927 2ND AVE., KEAAU, HI 96749
(303) 482-7176
Mailing address
15-2660 PAHOA VILLAGE RD., STE 203 #285, PAHOA, HI 96778
(303) 482-7176
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-1440
HI
Other
Enumeration date
02/09/2011
Last updated
08/05/2024
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