Individual
LUCIE OLIVOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2430 OKA ST STE B, KILAUEA, HI 96754-5332
(808) 828-0030
(808) 977-7769
Mailing address
2430 OKA ST STE B, KILAUEA, HI 96754-5332
(808) 828-0030
(808) 977-7769
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT9632
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MAT9632
STATE OF HAWAII DCCA
HI
Enumeration date
07/08/2020
Last updated
07/08/2020
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