Organization
KONA SKINCARE & BODYWORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE DELA CRUZ BRACEROS (OWNER)
(808) 347-0558
Entity
Organization
Contact information
Practice address
75-5706 KUAKINI HWY SUITE 105, KAILUA KONA, HI 96740-1751
(808) 347-0558
Mailing address
75-5706 KUAKINI HWY STE 105, KAILUA KONA, HI 96740-1751
(808) 347-0558
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
8643
HI
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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