Individual
MARTINA VESELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 E KUU AKU LN UNIT 512, LAHAINA, HI 96761-2758
(808) 866-6776
Mailing address
28 E KUU AKU LN UNIT 512, LAHAINA, HI 96761-2758
(808) 866-6776
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT12900
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H01092619
DRIVERS LICENSE
HI
01
—
NONE
NONE
—
Enumeration date
11/20/2019
Last updated
11/20/2019
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