Individual
BRIAN CORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
66-590 KAMEHAMEHA HWY, HALEIWA, HI 96712-2402
(808) 343-2024
Mailing address
PO BOX 31, HALEIWA, HI 96712-0031
(808) 343-2024
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
973
HI
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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