Organization
BANYAN MASSAGE HALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA CARDWELL (GENERAL PARTNER)
(808) 969-1044
Entity
Organization
Contact information
Practice address
71 BANYAN DR STE 115, HILO, HI 96720-4693
(808) 969-1044
Mailing address
71 BANYAN DR STE 115, HILO, HI 96720-4693
(808) 969-1044
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2223
HI
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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