Provider Demographics
NPI:1295293009
Name:A FACCHINATO CAMPOS, ANA PAULA (DC)
Entity type:Individual
Prefix:DR
First Name:ANA PAULA
Middle Name:
Last Name:A FACCHINATO CAMPOS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ANA
Other - Middle Name:
Other - Last Name:FACCHINATO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:354 ULUNIU ST STE 100
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2532
Mailing Address - Country:US
Mailing Address - Phone:808-261-4040
Mailing Address - Fax:808-744-2077
Practice Address - Street 1:354 ULUNIU ST STE 100
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2532
Practice Address - Country:US
Practice Address - Phone:808-261-4040
Practice Address - Fax:808-744-2077
Is Sole Proprietor?:No
Enumeration Date:2019-03-11
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34396111N00000X
HI1628111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor