=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861349169
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALOHA TOUCH AND REJUVENATION LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/14/2026
-----------------------------------------------------
Last Update Date | 03/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 99-084 KAUHALE ST
-----------------------------------------------------
City | AIEA
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96701-4100
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-783-5359
-----------------------------------------------------
Fax | 808-367-0629
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 94-850 LUMIHOLOI ST
-----------------------------------------------------
City | WAIPAHU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96797-3930
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-783-5359
-----------------------------------------------------
Fax | 808-367-0629
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/OPERATOR
-----------------------------------------------------
Name | CONNIE FERRERO-EGLORIA
-----------------------------------------------------
Credential | MT
-----------------------------------------------------
Telephone | 808-783-5359
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------