Individual
BRANDI FAITH WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 BALDWIN AVE, PAIA, HI 96779
(808) 579-9134
Mailing address
PO BOX 792019, PAIA, HI 96779-2019
(808) 268-7046
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11593
HI
Other
Enumeration date
09/15/2018
Last updated
09/15/2018
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