Individual
EUGENE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
92-1427 CORAL PARKWAY, OCEAN VIEW, HI 96737
(808) 990-0267
Mailing address
PO BOX 6271, OCEAN VIEW, HI 96737-6271
(808) 990-0267
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10431
HI
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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