Individual
LAURA JANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
360 HOOHANA ST, #205, KAHULUI, HI 96732-3504
(808) 877-1534
Mailing address
584 STABLE RD, PAIA, HI 96779-9755
(808) 344-8634
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
#11458
HI
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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