Individual
MR. BENJAMIN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
118 S KAINALU DR, KAILUA, HI 96734-2959
(912) 713-0719
Mailing address
118 S KAINALU DR, KAILUA, HI 96734-2959
(912) 713-0719
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-14753
HI
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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