Individual
BLOSSOM FABREGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
67 MAKALANI PL, MAKAWAO, HI 96768-8909
(808) 372-9520
Mailing address
67 MAKALANI PL, MAKAWAO, HI 96768-8909
(808) 372-9520
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11913
HI
225700000X
Massage Therapist
MAT11913
HI
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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