Individual
VONTRESS MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1090 KEOLU DR STE 104, KAILUA, HI 96734-3871
(808) 262-2292
Mailing address
111 HEKILI ST # A376, KAILUA, HI 96734-2800
(808) 201-2020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-15259
HI
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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