Organization
WAIMEA WELLNESS BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA KOBAYASHI (OWNER)
(808) 478-8370
Entity
Organization
Contact information
Practice address
64-957 MAMALAHOA HWY, KAMUELA, HI 96743-8415
(808) 478-8370
Mailing address
PO BOX 1018, KAMUELA, HI 96743-1018
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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