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Organization

LEISURE ECCENTRIC BODY MASSAGE

Active
Other names
Massage therapist
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MATTHALIYA AMASULA LMT (THERAPIST)
(808) 699-9971
Entity
Organization

Contact information

Practice address
91-3575 KAULUAKOKO ST UNIT 1403, EWA BEACH, HI 96706-5859
(808) 699-9971
Mailing address
91-3575 KAULUAKOKO ST UNIT 1403, EWA BEACH, HI 96706-5859
(808) 699-9971

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
02/26/2024
Last updated
02/26/2024
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