Individual
MRS. RUTH CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
233 HALEMAUMAU ST, HONOLULU, HI 96821-2055
(808) 497-4987
Mailing address
7130 HAWAII KAI DR, 116, HONOLULU, HI 96825-3184
(808) 497-4987
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-2410
HI
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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