MR. Ernesto J Prado, MAT 9365

NPI #1366612756 in Lahaina, Hawaii

Provider Information

NPI Number: 1366612756
Entity Type: Individual
Name: MR. Ernesto J Prado, MAT 9365
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MAT 9365
Enumeration Date: Mar 3, 2008
Last Updated: Mar 4, 2008

Practice Location

Address: 2580 KEKAA DR
Address 2: S-110
City: Lahaina
State: Hawaii
ZIP Code: 96761-2908
Phone: (808) 661-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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