Individual
SHARON F. VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
379 KAMEHAMEHA HWY, STE. E, PEARL CITY, HI 96782-3258
(808) 486-7567
(808) 486-1520
Mailing address
379 KAMEHAMEHA HWY, STE. E, PEARL CITY, HI 96782-3258
(808) 486-7567
(808) 486-1520
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11113
HI
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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