Healthcare Provider Details

I. General information

NPI: 1972938454
Provider Name (Legal Business Name): HEALTHY OPTIONS 4-U, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2013
Last Update Date: 09/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 ULUNIU ST STE. #412
KAILUA HI
96734-2519
US

IV. Provider business mailing address

1490 HUMUWILI PL
KAILUA HI
96734-3714
US

V. Phone/Fax

Practice location:
  • Phone: 808-222-8199
  • Fax:
Mailing address:
  • Phone: 808-222-8199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number685
License Number StateHI

VIII. Authorized Official

Name: DR. GLORIA K HAMADA
Title or Position: OWNER/MEMBER
Credential: DC
Phone: 808-222-8199