Individual
DAVID MAX CROONQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
35-2032 OLD MAMALAHOA HWY, PAPAALOA, HI 96780-9997
(206) 259-0008
Mailing address
PO BOX 2, PAPAALOA, HI 96780-0002
(206) 259-0008
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15002
HI
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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