Individual
KAPUAIHOOLEIIAIKAPON SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT
Contact information
Practice address
1090 KEOLU DR STE 104, KAILUA, HI 96734-3871
(808) 262-2292
Mailing address
174 AUMOE RD, KAILUA, HI 96734-3442
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4149
HI
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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