Provider Demographics
NPI:1639318066
Name:PATTEE, JOY (LAC)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:PATTEE
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 1:75-5778 WAIOLA PL
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-1942
Mailing Address - Country:US
Mailing Address - Phone:808-990-0293
Mailing Address - Fax:
Practice Address - Street 1:75-5778 WAIOLA PL
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1942
Practice Address - Country:US
Practice Address - Phone:808-990-0293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI534171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist