Individual
MR. JAMES BLAKE GOLDFARB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
120 KEAWE ST STE 204D, HILO, HI 96720-2874
(808) 464-3311
Mailing address
PO BOX 1576, PAHOA, HI 96778-1576
(808) 464-3311
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15952
HI
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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