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Individual

MS. MALIA PUA LOKELANI TALLETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2064 KILAUEA AVE, HILO, HI 96720-5233
(808) 339-7478
(808) 657-4980
Mailing address
2064 KILAUEA AVE, HILO, HI 96720-5233
(808) 339-7478
(808) 657-4980

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3170
HI
225100000X
Physical Therapist
PT34397
CA
225100000X
Physical Therapist
PT34397
HI

Other

Enumeration date
12/18/2009
Last updated
04/13/2018
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