Provider Demographics
NPI:1518025097
Name:WEST, SARAH QUANYIN (L AC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:QUANYIN
Last Name:WEST
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10896
Mailing Address - Street 2:211 A AMAUULU RD
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96721
Mailing Address - Country:US
Mailing Address - Phone:808-969-1155
Mailing Address - Fax:
Practice Address - Street 1:211 A AMAUULU RD
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720
Practice Address - Country:US
Practice Address - Phone:808-969-1155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI350171100000X
004349171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist