Individual
CARLA RUTH VILLAMOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
94-050 FARRINGTON HWY, SUITE E1-1B, WAIPAHU, HI 96797-1841
(808) 352-5094
Mailing address
94-050 FARRINGTON HWY, SUITE E1-1B, WAIPAHU, HI 96797-1841
(808) 352-5094
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA00023678
WA
225700000X
Massage Therapist
Primary
MAT-10263
HI
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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