Individual
MRS. KATHLEEN I CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
94-229 WAIPAHU DEPOT ST STE 301, WAIPAHU, HI 96797-3033
(808) 671-7414
(808) 671-7133
Mailing address
94-229 WAIPAHU DEPOT ST STE 301, WAIPAHU, HI 96797-3033
(808) 671-7414
(808) 671-7133
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT 8855
HI
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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