Individual
MS. LEOLANI ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
2130 KANEKA ST, LIHUE, HI 96766-8005
(808) 652-4946
Mailing address
2130 KANEKA ST, LIHUE, HI 96766-8005
(808) 652-4946
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT8102
HI
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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