Individual
ELEGANT MANDY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
845 WAINEE ST STE 210, LAHAINA, HI 96761-1688
(808) 793-0063
Mailing address
PO BOX 12811, LAHAINA, HI 96761-7811
(808) 280-1505
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT15340
HI
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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