Organization
KA OLA CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN PETERSEN DC (STAFF DOCTOR)
(808) 436-7317
Entity
Organization
Contact information
Practice address
7000 HAWAII KAI DR APT 2910, HONOLULU, HI 96825-4190
(808) 436-7317
Mailing address
PO BOX 25921, HONOLULU, HI 96825-0921
(808) 436-7317
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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