Provider Demographics
NPI:1548345895
Name:GAJONERA, MARIATERESA ARANAS
Entity type:Individual
Prefix:MRS
First Name:MARIATERESA
Middle Name:ARANAS
Last Name:GAJONERA
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MARITESS
Other - Middle Name:A
Other - Last Name:GAJONERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:91-1019 NIOLO ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-5116
Mailing Address - Country:US
Mailing Address - Phone:808-782-8831
Mailing Address - Fax:808-685-4881
Practice Address - Street 1:94-307 FARRINGTON HWY
Practice Address - Street 2:SUITE A9
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-2565
Practice Address - Country:US
Practice Address - Phone:808-782-8831
Practice Address - Fax:808-671-1868
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5026225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist