Organization
ONENESS CENTER, INC.
Active
Other names
Lahaina Massage Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES GARDNER (VICE-PRESIDENT)
(808) 667-6260
Entity
Organization
Contact information
Practice address
180 DICKENSON ST, STE. 205, LAHAINA, HI 96761-1215
(808) 667-6260
(808) 667-6269
Mailing address
PO BOX 357, LAHAINA, HI 96767-0357
(808) 667-6260
(808) 667-6269
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MAE-2168
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MAE-2168
MASSAGE ESTABLISHMENT
HI
Enumeration date
03/19/2007
Last updated
03/18/2009
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