8revive, LLC

NPI #1619258563 in Kahului, Hawaii

Provider Information

NPI Number: 1619258563
Entity Type: Organization
Organization Name: 8revive, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Sep 6, 2011
Last Updated: Mar 21, 2015

Practice Location

Address: 161 MAA ST
Address 2: SUITE 101
City: Kahului
State: Hawaii
ZIP Code: 96732-3603
Phone: (808) 270-1893

Authorized Official

Name: JENNIFER ANDREONI, LMT
Title: OWNER/MANAGER
Phone: (808) 270-1893

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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