Individual
MRS. HELENE MICHELE LOS BANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
275 LAKAU PL, KIHEI, HI 96753-7629
(808) 298-3195
Mailing address
275 LAKAU PL, KIHEI, HI 96753-7629
(808) 298-3195
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
8989
HI
Other
Enumeration date
06/06/2015
Last updated
06/06/2015
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