Individual
DONNA BLANCAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 242-2325
Mailing address
140 UWAPO RD. 48-104, KIHEI, HI 96753
(808) 875-7103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2374
HI
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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