Individual
KIARA MARIE VICENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
599 FARRINGTON HWY STE 2, KAPOLEI, HI 96707-2028
(808) 680-9123
Mailing address
1569 LEHIA ST, HONOLULU, HI 96818
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6043
HI
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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