Individual
MR. RANDALL CORPUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
932 WARD AVE, HONOLULU, HI 96814-2131
(808) 535-5555
Mailing address
94-1123 NOHEAIKI ST, WAIPAHU, HI 96797-4138
(808) 203-9918
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 9135
HI
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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