Individual
RONNIE DATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-689 FARRINGTON HWY, WAIPAHU, HI 96797-3015
(808) 676-7700
(808) 676-7708
Mailing address
94-689 FARRINGTON HWY, WAIPAHU, HI 96797-3015
(808) 676-7700
(808) 676-7708
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10119
HI
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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