Provider Demographics
NPI:1386701928
Name:WRZESNIEWSKI, JANINE F (LAC)
Entity type:Individual
Prefix:MRS
First Name:JANINE
Middle Name:F
Last Name:WRZESNIEWSKI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:45-1144 KAMEHAMEHA HWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96745-3245
Mailing Address - Country:US
Mailing Address - Phone:808-235-1115
Mailing Address - Fax:808-239-9085
Practice Address - Street 1:45-1144 KAMEHAMEHA HWY
Practice Address - Street 2:SUITE 300
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3244
Practice Address - Country:US
Practice Address - Phone:808-235-1115
Practice Address - Fax:808-239-9085
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIACU-458171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist