Individual
CAROLINA LEILANI MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
75-5759 KUAKINI HWY, KAILUA KONA, HI 96740-1726
(808) 327-9791
Mailing address
PO BOX 4296, KAILUA KONA, HI 96745-4296
(808) 315-2628
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15441
HI
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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