Individual
TYERELL BALDONADO-KALEIOPU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2045 MAIN ST, WAILUKU, HI 96793-1648
(808) 242-8844
Mailing address
930 EHOEHO ST, MAKAWAO, HI 96768-9710
(808) 344-6869
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17175
HI
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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