Organization
FIMASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZORKA PINKAS MT (OWNER)
(808) 285-9547
Entity
Organization
Contact information
Practice address
2668 PETER ST, HONOLULU, HI 96816-2014
(808) 285-9547
(808) 734-0567
Mailing address
2668 PETER ST, HONOLULU, HI 96816-2014
(808) 285-9547
(808) 734-0567
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
W79240923-1
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MAE 2402
MASSAGE ESTABLISHMENT
HI
Enumeration date
06/30/2009
Last updated
06/30/2009
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