Individual
MS. JOETTE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2260 KANAKANUI RD, KIHEI, HI 96753-8557
(808) 276-6335
Mailing address
2260 KANAKANUI RD, KIHEI, HI 96753-8557
(808) 276-6335
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MAT-6040
HI
Other
Enumeration date
08/02/2014
Last updated
08/02/2014
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