NPI 1063086064
Maui Nutrition Therapy LLC
Practice location
- Address
- 17732 Haleakala Hwy, Kula, HI 96790-8036
- Phone
- (808) 269-9633
- Fax
- (808) 862-6520
- Mailing address
- PO Box 1147, Kula, HI 96790-1147
Authorised official
- Name
- Andrea G de Roode
- Title
- Owner
- Phone
- (808) 269-9633
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1063086064
- Entity type
- Organization
- NPI issued
- 14 May 2021
- Record last updated
- 14 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.