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Individual

LILLIAN MORI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MASSAGE THERAPIST

Contact information

Practice address
3443 WAIALAE AVE, HONOLULU, HI 96816-2650
(808) 228-8812
Mailing address
3138 WAIALAE AVE APT 308, HONOLULU, HI 96816-1539
(808) 228-8812

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
6187
HI
174400000X
Specialist
6187
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6187
MASSAGE THERAPIST
HI
Enumeration date
03/19/2010
Last updated
03/19/2010
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