Hicom University

NPI #1417388760 in Hilo, Hawaii

Provider Information

NPI Number: 1417388760
Entity Type: Organization
Organization Name: Hicom University
Primary Specialty: Acupuncturist
Enumeration Date: Dec 11, 2013
Last Updated: Dec 11, 2013

Practice Location

Address: 180 KINOOLE ST STE 301
City: Hilo
State: Hawaii
ZIP Code: 96720-2827
Phone: (808) 933-1369

Authorized Official

Name: MS. WILLIAM BURTON PETTIS, MS, L.AC, EAMP
Title: MEDICAL DIRECTOR
Phone: (808) 933-1369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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