Individual
MR. DANIEL GABRIEL NA HIKU RENTERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C., L.M.T
Contact information
Practice address
155 W KAWILI ST, HILO, HI 96720-5038
(808) 974-4888
Mailing address
PO BOX 188, PEPEEKEO, HI 96783-0188
(808) 895-1616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
83
HI
225700000X
Massage Therapist
10008
HI
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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