Individual
MARK GUPPY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
65-1230 MAMALAHOA HWY STE E11, KAMUELA, HI 96743-7301
(808) 937-0069
Mailing address
64-648 PUU POHU PL, KAMUELA, HI 96743-8139
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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