Individual
MS. CONSTANCE K DAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
75-127 LUNAPULE RD STE 4C, KAILUA KONA, HI 96740-2119
(808) 757-9694
Mailing address
75-127 LUNAPULE RD STE 4C, KAILUA KONA, HI 96740-2119
(808) 757-9694
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9443
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9443
MAT
HI
Enumeration date
05/10/2021
Last updated
05/10/2021
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