Individual
MS. ELLEN GRACE SILVESTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
773 WAIANUENUE AVE, HILO, HI 96720-2015
(808) 640-1351
Mailing address
773 WAIANUENUE AVE, HILO, HI 96720-2015
(808) 640-1351
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H000566548
HI
225700000X
Massage Therapist
11267
HI
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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