Provider Demographics
NPI:1184951923
Name:SKABO, ANNE (LAC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:SKABO
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 1:6131 KAHILIHOLO RD
Mailing Address - Street 2:
Mailing Address - City:KILAUEA
Mailing Address - State:HI
Mailing Address - Zip Code:96754-5117
Mailing Address - Country:US
Mailing Address - Phone:808-634-0009
Mailing Address - Fax:888-299-3160
Practice Address - Street 1:6131 KAHILIHOLO RD
Practice Address - Street 2:
Practice Address - City:KILAUEA
Practice Address - State:HI
Practice Address - Zip Code:96754-5117
Practice Address - Country:US
Practice Address - Phone:808-634-0009
Practice Address - Fax:888-299-3160
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-16
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU 905171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist