Individual
MS. LISA MARY DOREEN ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
54-316 KAMEHAMEHA HWY, SUITE 7, HAUULA, HI 96717-9539
(808) 293-5377
(808) 293-5390
Mailing address
PO BOX 1875, AIEA, HI 96701-7875
(808) 306-0081
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6174
HI
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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