Individual
MYRON JAMES VITITOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
68-139 AU ST, WAIALUA, HI 96791-8405
(518) 344-0396
Mailing address
68-677 FARRINGTON HWY, WAIALUA, HI 96791-9355
(518) 818-4469
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-167775
HI
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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