Organization
PREMKAMAL SPAS LLC
Active
Other names
Lotus Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITESH BANTHIA (MANAGER)
(808) 334-0445
Entity
Organization
Contact information
Practice address
75-5852 ALII DR, 166, KAILUA KONA, HI 96740-1310
(808) 334-0445
Mailing address
75-5852 ALII DR, 166, KAILUA KONA, HI 96740-1310
(808) 334-0445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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