Organization
8REVIVE, LLC
Active
Other names
Infinity Revive Massage & Wellness Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANDREONI LMT (OWNER/MANAGER)
(808) 270-1893
Entity
Organization
Contact information
Practice address
161 MAA ST, SUITE 101, KAHULUI, HI 96732-3603
(808) 270-1893
(808) 270-1892
Mailing address
161 MAA ST, SUITE 101, KAHULUI, HI 96732-3603
(808) 270-1893
(808) 270-1892
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MAE-2645
HI
Other
Enumeration date
09/06/2011
Last updated
03/21/2015
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