Provider Demographics
NPI:1154450369
Name:HIRAI, BRANDIE (LAC, LMT)
Entity type:Individual
Prefix:MS
First Name:BRANDIE
Middle Name:
Last Name:HIRAI
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-1247 KAAHUMANU ST.
Mailing Address - Street 2:STE 322
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701
Mailing Address - Country:US
Mailing Address - Phone:808-486-7188
Mailing Address - Fax:808-486-7811
Practice Address - Street 1:98-1247 KAAHUMANU ST
Practice Address - Street 2:STE 322
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-5311
Practice Address - Country:US
Practice Address - Phone:808-486-7188
Practice Address - Fax:808-486-7811
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI575171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist