Individual
HEATHER NEIDHAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 KAUILA ST, HILO, HI 96720-2107
(808) 333-3544
Mailing address
345 KAUILA ST, HILO, HI 96720-2107
(808) 333-3544
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-12229
HI
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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