Individual
MRS. PENNY LEILANI ORNELLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
4270 KILAUEA RD, KILAUEA, HI 96754
(808) 346-7169
Mailing address
5317 LUANA ST, KAPAA, HI 96746
(808) 346-7169
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT9598
HI
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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