Individual
MRS. LAUREN M MEKEEL BOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
1401 NAALAE ROAD, KULA, HI 96790
(516) 507-0168
Mailing address
1401 NAALAE ROAD, KULA, HI 96790
(516) 507-0168
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14596
HI
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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