Organization
KRISTEN NELSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN NELSON (OWNER/ LICENSED MASSAGE THERAPIST)
(808) 372-9298
Entity
Organization
Contact information
Practice address
59-065 PAUMALU PL, HALEIWA, HI 96712-9751
(808) 372-9298
Mailing address
PO BOX 286, HALEIWA, HI 96712-0286
(808) 372-9298
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MAT13264
HI
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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