Individual
MARY MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74-381 KEALAKEHE PKWY, SUITE 1, KAILUA KONA, HI 96740-2705
(808) 589-1829
(808) 589-2610
Mailing address
74-381 KEALAKEHE PKWY, SUITE 1, KAILUA KONA, HI 96740-2705
(808) 589-1829
(808) 589-2610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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