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Organization

GREEN TI BOUTIQUE AND MASSAGE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ERICA LYNN OLEKSA (OWNER/MANAGER)
(808) 242-8788
Entity
Organization

Contact information

Practice address
40 N MARKET ST, WAILUKU, HI 96793-1718
(808) 242-8788
(808) 242-8788
Mailing address
40 N MARKET ST, WAILUKU, HI 96793-1718
(808) 242-8788
(808) 242-8788

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2281
HI

Other

Enumeration date
07/16/2013
Last updated
07/16/2013
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