Individual
IVANA CABLOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 WARD AVE, HONOLULU, HI 96814-4010
(808) 200-4611
Mailing address
350 WARD AVE STE 210, HONOLULU, HI 96814-4004
(808) 285-6869
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2956
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164703
AMERICAN SPECIALTY HEALTH GROUP, INC
HI
Enumeration date
12/11/2014
Last updated
12/20/2017
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