Individual
MR. ROSS M DAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NMT
Contact information
Practice address
1958 E VINEYARD ST, WAILUKU, HI 96793-1715
(808) 344-8484
Mailing address
2770 ALA OLU PL, HAIKU, HI 96708-5077
(808) 264-1581
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8557
HI
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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