Provider Demographics
NPI:1992387724
Name:IKI, DARCIE (LAC)
Entity Type:Individual
Prefix:MRS
First Name:DARCIE
Middle Name:
Last Name:IKI
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 1:3817 LURLINE DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-4003
Mailing Address - Country:US
Mailing Address - Phone:808-204-1460
Mailing Address - Fax:
Practice Address - Street 1:3817 LURLINE DR UNIT A
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-4003
Practice Address - Country:US
Practice Address - Phone:808-204-1460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU1334171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist