Organization
CREATIVE-HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN HENDERSON NP-C (NURSE PRACTITIONER)
(808) 561-5424
Entity
Organization
Contact information
Practice address
619 KAPAHULU AVE PH, HONOLULU, HI 96815-3822
(808) 561-5424
Mailing address
619 KAPAHULU AVE PH, HONOLULU, HI 96815-3822
(808) 561-5424
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
APRN 1338
HI
Other
Enumeration date
09/17/2013
Last updated
07/29/2014
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