SANDRA BENNETT

KAILUA KONA, HI
NPI1700025830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: HI  mat 4538)
Enumeration Date2009-02-12
Last Update Date2009-02-12
Business Address
-- SANDRA BENNETT
73-4863 ANINI ST
KAILUA KONA, HI 96740-9233
Phone number: 808-325-6795
Mailing Address
-- SANDRA BENNETT
73-4863 ANINI ST
KAILUA KONA, HI 96740-9233
Phone number: