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Individual

MRS. DONNA BARRACA ROLDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
94-366 PUPUPANI STREET, SUITE 209B, WAIPAHU, HI 96797
(808) 597-6103
(808) 680-0015
Mailing address
94-366 PUPUPANI STREET, SUITE 209B, WAIPAHU, HI 96797
(808) 597-6103
(808) 680-0015

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12108
HI

Other

Enumeration date
10/10/2013
Last updated
10/10/2013
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