Individual
LAURA VERONICA CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3950 KALAI WAA ST APT T103, KIHEI, HI 96753-7790
(808) 264-8643
Mailing address
3950 KALAI WAA ST APT T103, KIHEI, HI 96753-7790
(808) 264-8643
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9554
HI
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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