Individual
ROSE ANN MAMUAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-657 KAAKA ST, WAIPAHU, HI 96797-1221
(808) 590-4840
Mailing address
94-657 KAAKA ST, WAIPAHU, HI 96797-1221
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14443
HI
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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