Provider Demographics
NPI:1144432535
Name:YARBERRY, MEGAN (LAC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:YARBERRY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 KINOOLE ST STE B
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2838
Mailing Address - Country:US
Mailing Address - Phone:808-938-2631
Mailing Address - Fax:808-969-1430
Practice Address - Street 1:142 KINOOLE ST STE B
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2838
Practice Address - Country:US
Practice Address - Phone:808-938-2631
Practice Address - Fax:808-969-1430
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU-512171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist