Individual
MARYVIC MAGSANOC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1025 KALAPU ST, EWA BEACH, HI 96706-2213
(808) 373-6301
Mailing address
91-1025 KALAPU ST, EWA BEACH, HI 96706-2213
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT 13924
HI
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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