ANNE MARIE PROVAX

KAILUA KONA, HI
NPI1790964609
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: HI  150)
Enumeration Date2007-10-26
Last Update Date2010-08-23
Business Address
-- ANNE MARIE PROVAX MFT
75-127 LUNAPULE RD SUITE 4A
KAILUA KONA, HI 96740-2119
Phone number: 808-640-6133
Mailing Address
-- ANNE MARIE PROVAX MFT
PO BOX 553
HONAUNAU, HI 96726-0553
Phone number: 808-640-6133
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