Individual
MRS. DIANE ELLLEN SAKS TALBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1063 LOWER MAIN ST, C-215, WAILUKU, HI 96793-2038
(808) 242-5768
Mailing address
2811 LIHOLANI ST, 23, MAKAWAO, HI 96768-8400
(808) 573-0450
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
2286
HI
Other
Enumeration date
12/16/2007
Last updated
12/16/2007
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