Individual
DANIEL EDWARD FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
81 CENTRAL AVE, WAILUKU, HI 96793-1723
(808) 244-7769
Mailing address
81 CENTRAL AVE, BOX 1144, WAILUKU, HI 96793-1723
(808) 244-7769
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT 2765
HI
Other
Enumeration date
09/25/2007
Last updated
10/31/2009
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