Individual
MR. ERNESTO J PRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT 9365
Contact information
Practice address
2580 KEKAA DR, S-110, LAHAINA, HI 96761-2908
(808) 661-0500
Mailing address
5095 NAPILIHAU ST, 109-B PMB-116, LAHAINA, HI 96761-8800
(808) 214-0543
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-9365
HI
Other
Enumeration date
03/03/2008
Last updated
03/04/2008
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