Individual
MARIE SIMONE NAIMA AUDANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
40 N MARKET ST, WAILUKU, HI 96793-1718
(808) 242-8788
(808) 242-8788
Mailing address
40 N MARKET ST, WAILUKU, HI 96793-1718
(808) 242-8788
(808) 242-8788
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12924
HI
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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