Individual
DAVID ALLEN DAVIDSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
95 LONO AVE STE 105, KAHULUI, HI 96732-1610
(808) 873-0733
(808) 873-9646
Mailing address
PO BOX 1140, MAKAWAO, HI 96768-1140
(808) 873-0733
(808) 873-9646
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-17792
HI
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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