Individual
MRS. ALICIA ANN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
291 HOOMAHA RD, MAKAWAO, HI 96768-8117
(415) 306-3273
Mailing address
PO BOX 1503, MAKAWAO, HI 96768-9998
(415) 306-3273
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/05/2020
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