Individual
LARISHA NAIDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3681 BALDWIN AVE STE G-103, MAKAWAO, HI 96768-7505
(949) 735-5625
Mailing address
PO BOX 461, MAKAWAO, HI 96768-0461
(949) 735-5625
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13047
HI
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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