| Infinty Revive | |
|
77 Hookele St 101 Kahului HI 96732-3515 | |
| (808) 270-1893 | |
| (808) 270-1892 |
| Full Name | Infinty Revive |
|---|---|
| Speciality | Clinic/center |
| Location | 77 Hookele St, Kahului, Hawaii |
| Authorized Official Name and Position | Jennifer Andreoni (OWNER) |
| Authorized Official Contact | 8082701893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinty Revive 77 Hookele St 101 Kahului HI 96732-3515 Ph: (808) 270-1893 | Infinty Revive 77 Hookele St 101 Kahului HI 96732-3515 Ph: (808) 270-1893 |
| NPI Number | 1538434477 |
|---|---|
| Provider Enumeration Date | 03/10/2012 |
| Last Update Date | 03/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538434477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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