Individual
MELISSA EISENHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 MANINO CIR APT 103, KIHEI, HI 96753-5208
(808) 264-2846
Mailing address
135 MANINO CIR APT 103, KIHEI, HI 96753-5208
(808) 264-2846
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT 14768
HI
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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