Individual
MS. DONNA MAREE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
740 KILAUEA AVE, HILO, HI 96720-4234
(808) 935-5255
Mailing address
PO BOX 1434, PAHOA, HI 96778-1434
(808) 315-5125
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-10555
HI
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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