Individual
CHALEI VANNATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
45-519 KEAAHALA RD APT 103, KANEOHE, HI 96744-3337
(808) 291-7602
Mailing address
45-519 KEAAHALA ROAD APT 103, KANEOHE, HI 96744
(808) 291-7602
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14059
HI
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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