Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 1446 | HI |
N | 111N00000X | Chiropractor | DC-1446 | HI |
Y | 111NP0017X | Pediatric Chiropractor | 1446 | HI |
NPI | 1972137297 |
---|---|
Provider Name | Molly Stiens |
First Address | Haiku, HI 96708-5904 |
Second Address | Kahului, HI 96732-2383 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2020 |
Last Update Date | 25/02/2020 |