Individual
RENE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
53 N PUUNENE AVE, 104 C, KAHULUI, HI 96732
(808) 871-4645
(808) 873-8383
Mailing address
PO BOX 1608, KAHULUI, HI 96733-1608
(808) 871-4645
(808) 873-8383
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT 2287
HI
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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