Individual
ISAIAH NATHANIEL TAMOTSU WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
182 MOHOULI ST, HILO, HI 96720-3953
(808) 443-7612
Mailing address
238 HOOMALU ST, HILO, HI 96720-3312
(808) 443-7612
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-17805
HI
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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