Individual
MYLENE MOTOMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 HOOHANA ST STE A102, KAHULUI, HI 96732-2975
(808) 667-6161
Mailing address
114 APUWAI ST, HAIKU, HI 96708-4814
(808) 866-9138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4384
HI
Other
Enumeration date
07/12/2017
Last updated
09/13/2022
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