Brenda Bolanos, LMT

NPI #1912301250 in Lahaina, Hawaii

Provider Information

NPI Number: 1912301250
Entity Type: Individual
Name: Brenda Bolanos, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: LMT
Enumeration Date: Oct 15, 2014
Last Updated: Oct 15, 2014

Practice Location

Address: 15 E KUU AKU LN UNIT 109
City: Lahaina
State: Hawaii
ZIP Code: 96761-2750
Phone: (310) 779-9680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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