Individual
TOM BELLERUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
81 MAKAWAO AVE STE 201B, MAKAWAO, HI 96768-8894
(808) 573-2187
Mailing address
205 ULANA ST, MAKAWAO, HI 96768-8034
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-510
HI
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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