Individual
MS. ELIZABETH FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11-2518 KOKOKAHI ROAD, VOLCANO, HI 96785
(808) 365-6818
Mailing address
PO BOX 1026, VOLCANO, HI 96785-1026
(808) 365-6818
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT12004
HI
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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