Individual
THANAPORN TAWARA MORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-801 FARRINGTON HWY, WAIPAHU, HI 96797-3164
(808) 680-9123
Mailing address
1750 PUOWAINA DR, HONOLULU, HI 96813-1737
(808) 358-0378
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-15457
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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