Individual
BERNADETTE ELIZABETH GRIEBENOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
411 HUKU LII PL STE 302, KIHEI, HI 96753-7062
(808) 891-1411
Mailing address
PO BOX 1543, MAKAWAO, HI 96768-1543
(808) 856-9146
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15143
HI
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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