Provider Demographics
NPI:1396968186
Name:JOSLIN, CLARE (LAC)
Entity type:Individual
Prefix:
First Name:CLARE
Middle Name:
Last Name:JOSLIN
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:PO BOX 939
Mailing Address - Street 2:
Mailing Address - City:HANA
Mailing Address - State:HI
Mailing Address - Zip Code:96713-0939
Mailing Address - Country:US
Mailing Address - Phone:808-960-8112
Mailing Address - Fax:808-248-8882
Practice Address - Street 1:37 KAKIO ROAD
Practice Address - Street 2:
Practice Address - City:HANA
Practice Address - State:HI
Practice Address - Zip Code:96713-0939
Practice Address - Country:US
Practice Address - Phone:808-960-8112
Practice Address - Fax:808-248-8882
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU447171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist