Individual
MR. WALTER LEITE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
321 KINOOLE ST, THERA-TOUCH HAWAII, HILO, HI 96720
(808) 756-8333
Mailing address
321 KINOOLE ST, THERA-TOUCH HAWAII, HILO, HI 96720
(808) 756-8333
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-10255
HI
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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