Healthcare Provider Details

I. General information

NPI: 1972827202
Provider Name (Legal Business Name): LILIA A SABALBERINO L.M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2010
Last Update Date: 03/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-366 PUPUPANI ST STE 209B
WAIPAHU HI
96797-2660
US

IV. Provider business mailing address

94-366 PUPUPANI ST STE 209B
WAIPAHU HI
96797-2660
US

V. Phone/Fax

Practice location:
  • Phone: 808-680-0015
  • Fax: 808-680-0015
Mailing address:
  • Phone: 808-680-0015
  • Fax: 808-680-0015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number11515
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: