Provider Demographics
NPI:1790032001
Name:JOYCE-HIGA, RUTH ANDRA
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:ANDRA
Last Name:JOYCE-HIGA
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:RUTH
Other - Middle Name:ANDRA
Other - Last Name:JOYCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:PO BOX 3832
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-6832
Mailing Address - Country:US
Mailing Address - Phone:808-651-5810
Mailing Address - Fax:
Practice Address - Street 1:3411 WILCOX ROAD, APT. F75
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766
Practice Address - Country:US
Practice Address - Phone:808-651-5810
Practice Address - Fax:808-245-9454
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT2502173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist