Organization
BALANCEDLIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH BREWER L.AC (OWNER)
(808) 834-5004
Entity
Organization
Contact information
Practice address
750 KANOELEHUA AVE, HILO, HI 96720-7524
(808) 345-0047
(808) 207-9478
Mailing address
PO BOX 942, MT VIEW, HI 96720
(808) 345-0047
(808) 207-9478
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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