Individual
ISAIAS KINOIKAIKA AMBY RIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
436 ILIAHI STREET, LANAI CITY, HI 96763-1308
(808) 870-6490
Mailing address
PO BOX 631680, LANAI CITY, HI 96763-1308
(808) 870-6490
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MAT7945
HI
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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