Individual
LAURA ELISA OLVERA ESPINOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
718 HAIKU RD, HAIKU, HI 96708-5846
(808) 500-3251
Mailing address
PO BOX 791294, PAIA, HI 96779-1294
(808) 500-3251
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17460
HI
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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