Individual
MISS KRYSTAL KAMBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2070 KILAUEA AVE, HILO, HI 96720-5233
(808) 319-0552
Mailing address
PO BOX 1382, KURTISTOWN, HI 96760-1382
(808) 319-0552
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17710
HI
Other
Enumeration date
03/09/2021
Last updated
09/10/2024
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