Individual
EMILY TO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75-127 LUNAPULE RD, KAILUA KONA, HI 96740-2119
(808) 465-4329
Mailing address
PO BOX 3155, KAILUA KONA, HI 96745-3155
(267) 242-8801
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14523
HI
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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