Provider Demographics
NPI:1447599220
Name:ASUNCION, CHRISTINE (LAC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:ASUNCION
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1717
Mailing Address - Country:US
Mailing Address - Phone:808-249-8280
Mailing Address - Fax:808-249-8947
Practice Address - Street 1:147 N MARKET ST
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1717
Practice Address - Country:US
Practice Address - Phone:808-249-8280
Practice Address - Fax:808-249-8947
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI686171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist