Individual
QUAWANA S CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
94-801 FARRINGTON HWY, WAIPAHU, HI 96797-3164
(808) 680-9123
Mailing address
94-801 FARRINGTON HWY, WAIPAHU, HI 96797-3164
(808) 680-9123
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16470
HI
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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