Individual
ILENE MARTINO BELLERUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
205 ULANA ST, MAKAWAO, HI 96768-8034
(808) 573-7770
(808) 573-7770
Mailing address
205 ULANA ST, MAKAWAO, HI 96768-8034
(808) 573-7770
(808) 573-7770
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-382
HI
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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