Individual
DR. ERIC S. MIZUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
65-1206 MAMALAHOA HWY STE 3-12, KAMUELA, HI 96743-7303
(814) 490-3104
(814) 833-9355
Mailing address
65-1206 MAMALAHOA HWY STE 3-12, KAMUELA, HI 96743-7303
(814) 490-3104
(814) 833-9355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007380L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001786492/0002
—
PA
Enumeration date
04/03/2006
Last updated
03/21/2018
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