Provider Demographics
NPI:1790282770
Name:GARCIA, JOANNIE ULUWEHI (LMT)
Entity Type:Individual
Prefix:MS
First Name:JOANNIE
Middle Name:ULUWEHI
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MS
Other - First Name:JOANNIE
Other - Middle Name:ULUWEHI
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:91-1031 KAMAAHA AVE APT 1105
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2983
Mailing Address - Country:US
Mailing Address - Phone:808-237-0709
Mailing Address - Fax:
Practice Address - Street 1:599 FARRINGTON HWY STE 102
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2028
Practice Address - Country:US
Practice Address - Phone:808-674-1142
Practice Address - Fax:808-674-1143
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-15594225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist