Organization
WASSERMAN CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANA LOUANN AMOUYAL (PRESIDENT)
(808) 283-0097
Entity
Organization
Contact information
Practice address
95 E LIPOA ST STE A206, KIHEI, HI 96753-8193
(808) 283-0097
(808) 793-2733
Mailing address
95 E LIPOA ST STE A206, KIHEI, HI 96753-8193
(808) 283-0097
(808) 793-2733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
979
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0250652
HMSA
HI
Enumeration date
12/15/2006
Last updated
05/11/2022
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