Individual
MS. LOVELY MONA GRACE VILLANUEVA GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
85-979 FARRINGTON HWY, WAIANAE, HI 96792-2678
(808) 428-9261
(808) 378-3152
Mailing address
PO BOX 970583, WAIPAHU, HI 96797-0583
(808) 772-8399
(808) 378-3152
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3206
HI
Other
Enumeration date
09/14/2011
Last updated
04/05/2024
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