Individual
SAMMY DARYL MOLITAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1993 S KIHEI RD STE 16, KIHEI, HI 96753-7821
(808) 854-7243
Mailing address
44 KANANI RD APT 1-106, KIHEI, HI 96753-6714
(808) 854-7243
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT 11408
HI
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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