Individual
PATHAMA HENNEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT-14897
Contact information
Practice address
563 FARRINGTON HWY STE 202, KAPOLEI, HI 96707-2031
(808) 478-2661
Mailing address
563 FARRINGTON HWY STE 202, KAPOLEI, HI 96707-2031
(808) 478-2661
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-14897
HI
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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