Individual
MEYNARD VILLENAS ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3088A AUKELE ST, LIHUE, HI 96766-1464
(808) 632-0033
Mailing address
PO BOX 288, LIHUE, HI 96766-0288
(808) 634-7055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT 29450
CA
225100000X
Physical Therapist
Primary
2583
HI
Other
Enumeration date
12/28/2005
Last updated
03/31/2009
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