Individual
JAMIE V BOUSTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
16 BALDWIN AVE, PAIA, HI 96779
(808) 633-6581
Mailing address
122 KAPUAHI ST., MAKAWAO, HI 96768
(808) 633-6581
(808) 579-8885
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1045
HI
Other
Enumeration date
11/27/2012
Last updated
09/17/2015
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