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Individual

HOLLY MARIA VIVEIROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.T.

Contact information

Practice address
155 HAMAKUA DR STE B, KAILUA, HI 96734-2849
(808) 261-8931
(808) 261-0301
Mailing address
155 HAMAKUA DR STE B, KAILUA, HI 96734-2849
(808) 261-8931
(808) 261-0301

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11804
HI

Other

Enumeration date
04/04/2012
Last updated
04/04/2012
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