Individual
CATHERINE DEBONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
MAT 11291
HI
225700000X
Massage Therapist
Primary
MAT11291
HI
Other
Enumeration date
12/20/2011
Last updated
03/05/2021
Update your record
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