Individual
NOELLE KAILANI MANRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
810 KOKOMO RD STE 155&159, HAIKU, HI 96708-5075
(808) 209-2977
Mailing address
1515 KAUPAKALUA RD, HAIKU, HI 96708-5505
(808) 209-2977
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT13145
HI
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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