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Individual

TERESA BRITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2679 WAI WAI PL, SUITE 204, KIHEI, HI 96753-8196
(808) 214-7012
Mailing address
1450 S KIHEI RD, APT. D-108, KIHEI, HI 96753-8154
(808) 214-7012

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
12362
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12362
MASSAGE LICENSE
HI
Enumeration date
03/10/2012
Last updated
05/16/2012
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