Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC 1286 | HI |
NPI | 1215338447 |
---|---|
Provider Name | Dr. Rosalie J. Meuleman |
First Address | Kalaheo, HI 96741 |
Second Address | Kalaheo, HI 96741-8304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2014 |
Last Update Date | 08/09/2014 |