Individual
NONGKHRAN REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
719 KAMEHAMEHA HWY STE B101, PEARL CITY, HI 96782-2771
(808) 487-9999
(808) 484-9106
Mailing address
719 KAMEHAMEHA HWY STE B101, PEARL CITY, HI 96782-2771
(808) 487-9999
(808) 484-9106
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-13075
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MAT-13075
LICENSE
HI
Enumeration date
08/08/2022
Last updated
08/08/2022
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