Individual
BRADY MANOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 LONO AVE, KAHULUI, HI 96732-1610
(808) 873-0733
(808) 893-1802
Mailing address
95 LONO AVE, KAHULUI, HI 96732-1610
(808) 873-0733
(808) 893-1802
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT8483
HI
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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