Individual
FREDERICK ZANDRE ROBOSA PASCUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
99-128 AIEA HEIGHTS DR STE 207, AIEA, HI 96701-3968
(808) 487-0487
Mailing address
4354 LAAKEA ST, HONOLULU, HI 96818-1965
(808) 769-7126
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14300
HI
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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