Individual
LISA HAILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2064 KILAUEA AVE, HILO, HI 96720-5233
(808) 769-2811
Mailing address
PO BOX 6126, HILO, HI 96720-8923
(808) 769-2811
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5464
HI
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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