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Antonio Provencio, LAC
Acupuncturist in Aiea, Hawaii
NPI 1821598699

Antonio Provencio is an Acupuncturist based in Aiea, HI. Antonio Provencio practices in Aiea, HI and has the professional credentials of LAC. The NPI Number for Antonio Provencio is 1821598699 and holds a License No. (Hawaii).

The current practice location address for Antonio Provencio is 98-199 Kamehameha Hwy Ste F3, Aiea, HI and can be reached out via phone at 808-364-1555.

Location: 98-199 Kamehameha Hwy Ste F3, Aiea, HI, 96701-4820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821598699
Provider Name
Antonio Provencio
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
98-199 Kamehameha Hwy Ste F3, Aiea, HI, 96701-4820
Phone Number
808-364-1555
Fax Number
Provider Enumeration Date
02/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1231 01 HI ACUPUNCTURE STATE LICENSE
17178 01 CA ACUPUNCTURE STATE LICENSE
1740780949 01 NPI FOR EAST 2 WEST INTEGRATIVE MEDICINE
institution
Provider Business Practice Location Address Details
Address
98-199 Kamehameha Hwy Ste F3
City
Aiea
State
Hawaii
Zip
96701
Phone Number
808-364-1555
Fax Number
person
Provider Business Mailing Address Details
Address
98-199 Kamehameha Hwy Ste F3
City
Aiea
State
Hawaii
Zip
96701
Phone Number
808-364-1555
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Acupuncturist
Speciality
-
Taxonomy
171100000X
License No.
(California)
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
(California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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