LEIF ERIC PETERSON

KIHEI, HI
NPI1396457404
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: HI  MAT-16565)
Enumeration Date2022-12-20
Last Update Date2022-12-20
Business Address
LEIF ERIC PETERSON MT
154 ELEU PL
KIHEI, HI 96753-8210
Phone number: 808-419-5790
Mailing Address
LEIF ERIC PETERSON MT
154 ELEU PL
KIHEI, HI 96753-8210
Phone number: 808-419-5790