Organization
MAUI MASSAGE & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNESTO J PRADO LMAT (MASSAGE THERAPIST)
(808) 669-4500
Entity
Organization
Contact information
Practice address
3636 LOWER HONOAPIILANI RD STE 3, LAHAINA, HI 96761-5916
(808) 669-4500
Mailing address
3636 LOWER HONOAPIILANI RD STE 3, LAHAINA, HI 96761-5916
(808) 669-4500
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MAE2724
HI
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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