Individual
MR. KANOA GENERAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
135 SULLYS TRL, SUITE 3, PITTSFORD, NY 14534-4564
(585) 381-1117
Mailing address
135 SULLYS TRL, SUITE 3, PITTSFORD, NY 14534-4564
(585) 381-1117
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020302
NY
Other
Enumeration date
11/06/2013
Last updated
07/09/2016
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