Infinty Revive

NPI #1538434477 in Kahului, Hawaii

Provider Information

NPI Number: 1538434477
Entity Type: Organization
Organization Name: Infinty Revive
Primary Specialty: Clinic/Center
Enumeration Date: Mar 10, 2012
Last Updated: Mar 10, 2012

Practice Location

Address: 77 HOOKELE ST
Address 2: 101
City: Kahului
State: Hawaii
ZIP Code: 96732-3515
Phone: (808) 270-1893

Authorized Official

Name: MRS. JENNIFER ANDREONI, LMT
Title: OWNER
Phone: (808) 270-1893

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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