Individual
CAROLINA A DE CALISTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1847 S KIHEI RD STE 104, KIHEI, HI 96753-7939
(808) 280-1523
Mailing address
15 KULANIHAKOI ST APT 10C, KIHEI, HI 96753-7342
(808) 280-1523
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8617
HI
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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