Individual
MR. LIBIO M HERNANDEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
410 KILANI AVENUE, ROOM 204B, WAHIAWA, HI 96786
(808) 342-2040
Mailing address
PO BOX 257, WAIALUA, HI 96791
(808) 342-2040
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT3475
HI
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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