Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | LMT3538 | HI |
NPI | 1013045962 |
---|---|
Provider Name | Fernando Arcayna |
First Address | Wahiawa, HI 96786-2315 |
Second Address | Waipahu, HI 96797-3149 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2007 |
Last Update Date | 08/07/2007 |