Healthcare Provider Details

I. General information

NPI: 1356507941
Provider Name (Legal Business Name): CAMI CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2008
Last Update Date: 08/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75-5852 ALII DR STE 166
KAILUA KONA HI
96740-1310
US

IV. Provider business mailing address

75-5852 ALII DR STE 166
KAILUA KONA HI
96740-1310
US

V. Phone/Fax

Practice location:
  • Phone: 808-334-0445
  • Fax:
Mailing address:
  • Phone: 808-334-0445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number616
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number1207
License Number StateHI

VIII. Authorized Official

Name: MS. LANETTE L ABRAHAM-DUNCAN
Title or Position: PRINCIPAL MASSAGE THERAPIST
Credential: LMT
Phone: 808-334-0445