Individual
MERLY ORA-A
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
845 WAINEE ST STE 100, LAHAINA, HI 96761-2322
(808) 280-4431
Mailing address
603 KAHAKO ST, LAHAINA, HI 96761-1311
(808) 280-4431
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT14580
HI
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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