MEDICARE: MS. JAYNE TSUCHIYAMA L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	797	HI

General Provider Information

NPI Number	:	1679755458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JAYNE TSUCHIYAMA L.AC.

Provider Business Mailing Address
First Line	:	1500 S BERETANIA ST
Second Line	:	SUITE #104
City	:	HONOLULU
State	:	HI
Zip	:	96826-1932
Country	:	US
Telephone Number	:	808-946-9400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 S BERETANIA ST
Second Line	:	SUITE #104
City	:	HONOLULU
State	:	HI
Zip	:	96826-1932
Country	:	US
Telephone Number	:	808-946-9400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2007
Last Update Date	:	12/03/2007

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