Provider Demographics
NPI:1386332484
Name:HINO, LAUREEN (MAT-12281)
Entity type:Individual
Prefix:
First Name:LAUREEN
Middle Name:
Last Name:HINO
Suffix:
Gender:F
Credentials:MAT-12281
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 KAM HWY STE B100
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-2771
Mailing Address - Country:US
Mailing Address - Phone:808-723-2921
Mailing Address - Fax:808-484-9106
Practice Address - Street 1:719 KAM HWY STE B100
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-2771
Practice Address - Country:US
Practice Address - Phone:808-723-2921
Practice Address - Fax:808-484-9106
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist