Individual
MARISELA BRACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
1111 KAUPAKALUA RD, HAIKU, HI 96708-5239
(808) 283-7927
Mailing address
PO BOX 790885, PAIA, HI 96779-0885
(808) 283-7927
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-6080
HI
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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