Individual
KRISTA DAWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
40 N MARKET ST, WAILUKU, HI 96793-1718
(808) 242-8788
Mailing address
40 N MARKET ST, WAILUKU, HI 96793-1718
(808) 242-8788
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11294
HI
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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