ELISHA FAWN DIEDEERICH

PAHOA, HI
NPI1689471963
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: HI  MAT-8824)
Enumeration Date2025-02-25
Last Update Date2025-02-25
Business Address
ELISHA FAWN DIEDEERICH
12-7004 HOKUAO ST # 50
PAHOA, HI 96778-7892
Phone number: 808-557-8807
Mailing Address
ELISHA FAWN DIEDEERICH
12-7004 HOKUAO ST # 50
PAHOA, HI 96778-7892
Phone number: 808-557-8807
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