Individual
PAVICHAT POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98-1277 KAAHUMANU ST STE 130, AIEA, HI 96701-5319
(808) 723-2921
(808) 484-9106
Mailing address
98-1277 KAAHUMANU ST STE 130, AIEA, HI 96701-5319
(808) 723-2921
(808) 484-9106
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-17205
HI
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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