Individual
BONNIE JEAN STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT CST
Contact information
Practice address
54-3823 OMACHI RD., KAPAAU, HI 96755
(808) 896-5225
Mailing address
PO BOX 1193, KAPAAU, HI 96755
(808) 896-5225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5417MAT.
HI
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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