Provider Demographics
NPI:1912418237
Name:HOSHINO POWERS, CHIKAKO
Entity Type:Individual
Prefix:
First Name:CHIKAKO
Middle Name:
Last Name:HOSHINO POWERS
Suffix:
Gender:F
Credentials:
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 2255
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-2255
Mailing Address - Country:US
Mailing Address - Phone:808-987-6622
Mailing Address - Fax:808-987-6622
Practice Address - Street 1:65-1560 KAWAIHAE RD
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8458
Practice Address - Country:US
Practice Address - Phone:808-987-6622
Practice Address - Fax:808-885-6048
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI7030225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist