Individual
DENISE E BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1437 KILAUEA AVE STE 103, HILO, HI 96720-4200
(808) 498-4160
Mailing address
HC 2 BOX 5623, KEAAU, HI 96749-9402
(808) 990-0660
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-15665
HI
Other
Enumeration date
08/05/2018
Last updated
08/05/2018
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