Individual
MANUEL GONSALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1319 PUNAHOU ST STE 910, HONOLULU, HI 96826-1088
(808) 722-1443
Mailing address
1319 PUNAHOU ST STE 910, HONOLULU, HI 96826-1088
(808) 722-1443
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16098
HI
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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