Individual
DIANNA M DIFRENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1129 LOWER MAIN ST, #205, WAILUKU, HI 96793-2053
(808) 242-7111
(808) 242-1393
Mailing address
1129 LOWER MAIN ST, #205, WAILUKU, HI 96793-2053
(808) 242-7111
(808) 242-1393
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2455
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2455
STATE LICENSE
HI
01
—
4299
NCBTMB
HI
01
—
9899
AMTA
HI
Enumeration date
12/04/2006
Last updated
07/08/2007
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