Individual
MR. MARVIN DOUGLAS SEBOURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 LONO AVE, KAHULUI, HI 96732-1610
(808) 873-0733
Mailing address
596 KAAE RD, WAILUKU, HI 96793-1302
(808) 264-6388
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15310
HI
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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