Individual
ROSHELLE VENEGAS BALISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2226 LILIHA ST STE 304, HONOLULU, HI 96817-1605
(808) 547-6500
Mailing address
94-790 KAAKA ST, WAIPAHU, HI 96797-1298
(808) 225-8604
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
298
HI
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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