Individual
REBECCA A GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
4510 SALT LAKE BLVD STE B6, HONOLULU, HI 96818-3171
(808) 321-7135
(808) 200-3607
Mailing address
1090 ALA NAPUNANI ST APT 305, HONOLULU, HI 96818-1791
(423) 220-6194
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-17879
HI
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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