Individual
CANDICE PLACENCIO MENDOZA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
71 BANYAN DR # 115, HILO, HI 96720-4693
(808) 969-1044
Mailing address
PO BOX 634, PAHOA, HI 96778-0634
(808) 557-2254
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-17192
HI
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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