Individual
BLAKE TAAPAI MATAOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
465 HINANO ST, HILO, HI 96720-4406
(808) 557-9519
Mailing address
475 KINOOLE ST # 102-265, HILO, HI 96720-2900
(808) 557-9519
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13758
HI
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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