Individual
KIMIKO MIYAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
95-720 LANIKUHANA AVE, STE 140, MILILANI, HI 96789-2985
(808) 623-6244
(808) 623-6414
Mailing address
95-720 LANIKUHANA AVE, STE 140, MILILANI, HI 96789-2985
(808) 623-6244
(808) 623-6414
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11561
HI
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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