Individual
LAURIE E BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4381 KUKUI GROVE ST, SUITE 3, LIHUE, HI 96766
(808) 246-0144
(808) 245-5148
Mailing address
4381 KUKUI GROVE ST, SUITE 3, LIHUE, HI 96766
(808) 246-0144
(808) 245-5148
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2107
HI
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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