Individual
MS. MARIAN S WORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73-5618 MAIAU ST, #A201, KAILUA-KONA, HI 96740
(808) 283-4217
Mailing address
PO BOX 331273, KAHULUI, HI 96733
(808) 283-4217
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14000
HI
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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