Individual
MR. LEO CABALLERO TECSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
95 LONO AVE, SUITE 203, KAHULUI, HI 96732
(808) 276-3057
Mailing address
PO BOX 330303, KAHULUI, HI 96733-0303
(808) 276-3057
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT3954
HI
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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