Individual
MRS. LEILANI MARIE JEREMIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
77 HOOKELE ST STE 101, KAHULUI, HI 96732-3516
(808) 270-1893
(808) 270-1892
Mailing address
52 LINO PL, MAKAWAO, HI 96768-8525
(808) 269-7695
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-11312
HI
Other
Enumeration date
05/26/2012
Last updated
05/26/2012
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