Individual
LAUREN DEWEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76-6194 HOLUALOA BEACH RD, UNIT 6, KAILUA-KONA, HI 96740
(808) 238-2503
Mailing address
PO BOX 5529, KAILUA KONA, HI 96745-5529
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-14006
HI
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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