NPI 1225308539

Heavenly Ruby Quintero, LMT

Practitioner Contractor Haiku, HI

Practice location

Address: 390 Kulike Rd, Haiku, HI 96708-5945
Phone: (808) 463-6477

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MAT 8069 (HI)

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Registry record

NPI: 1225308539
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jan 2012
Record last updated: 3 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.