Individual
ANN MARIE FUGGIASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
77 HOOKELE ST, STE 101, KAHULUI, HI 96732-3515
(808) 270-1893
(808) 270-1892
Mailing address
PO BOX 331347, KAHULUI, HI 96733-1347
(414) 426-7212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-7504
HI
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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