Individual
MISS ELYSE MARIE SURETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
65-1230 MAMALAHOA HWY STE E11, KAMUELA, HI 96743-7301
(808) 885-7131
(808) 885-5926
Mailing address
65-1230 MAMALAHOA HWY STE E11, KAMUELA, HI 96743-7301
(808) 885-7131
(808) 885-5926
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2954
HI
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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