Individual
MARCY H. LATTEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75-5759 KUAKINI HWY STE 103A, KAILUA KONA, HI 96740-1726
(808) 327-9791
Mailing address
PO BOX 383843, WAIKOLOA, HI 96738-3843
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-15282
HI
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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