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NPI 1619258563

OrganizationActive

8revive, LLC

NPI 1619258563 · Clinic/Center · Kahului, HI

Provider details

NPI number: 1619258563
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Jennifer Andreoni, Owner/Manager
License: MAE-2645 (HI)

Practice location

161 Maa St

Suite 101

Kahului, HI 96732-3603

Phone: (808) 270-1893

Fax: (808) 270-1892

More HI providers

Mailing address

161 Maa St

Kahului, HI 96732-3603

Registry dates

Enumerated: 2011-09-06
Last updated: 2015-03-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

8revive, LLC — NPI 1619258563, Kahului, HI | NPI Central