Individual
MICHELLE RENEE VERGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
75-6008 ALII DR APT B, KAILUA KONA, HI 96740-2364
(424) 744-6046
Mailing address
75-6008 ALII DR APT B, KAILUA KONA, HI 96740-2364
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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