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Individual

TINA AH PUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4482 LOWER HONOAPIILANI RD, LAHAINA, HI 96761-9208
(808) 205-0226
Mailing address
4482 LOWER HONOAPIILANI RD, LAHAINA, HI 96761-9208

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT7994
HI
225700000X
Massage Therapist

Other

Enumeration date
11/04/2017
Last updated
11/04/2017
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