Individual
TAMMY N FONDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
338 KAMOKILA BLVD STE 201, KAPOLEI, HI 96707-2055
(808) 674-9998
Mailing address
338 KAMOKILA BLVD STE 201, KAPOLEI, HI 96707-2055
(808) 667-4999
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15985
HI
Other
Enumeration date
10/29/2020
Last updated
11/24/2020
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