Individual
LAUREL LABISTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 KEAWE ST STE 159B, HILO, HI 96720-2824
(808) 785-7624
Mailing address
LAUREL LABISTRE GENERAL DELIVERY, MOUNTAIN VIEW, HI 96771
(808) 785-7624
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-18018
HI
Other
Enumeration date
11/21/2024
Last updated
12/18/2024
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