FACIAL808
Managed Care Organizations at Hawaii Belt Rd, Kailua Kona, HI

License number
Hawaii MAT 3913
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: ELLARENE KUULEIALOHA VOGELGESANG
Title: OWNER
Phone: (808) 457-0330
Address
Address
73-4520 Hawaii Belt Rd, Kailua Kona, HI 96740
National Provider ID: 1821409236
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FACIAL808 at bizstanding.com

FACIAL808

PO Box 4386, Kailua Kona, HI 96745

Status:
Inactive
Industry:
ESTHETICIAN SERVICES, MASSAGE, WAXING
Registration:
Dec 9, 2011
Inactive since:
Dec 8, 2016
State ID:
365470 ZZ
Agent:
Ella Vogelgesang

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