Individual
STACEY SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
75-240 NANI KAILUA DR, #6A, KAILUA KONA, HI 96740-2074
(808) 238-4072
(808) 326-1955
Mailing address
PO BOX 808, KAILUA KONA, HI 96745-0808
(808) 238-4072
(808) 326-1955
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU1010
HI
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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