Individual
BENNY PERALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 KAPIOLANI BLVD STE 202, HONOLULU, HI 96813-5139
(808) 348-9001
Mailing address
600 KAPIOLANI BLVD STE 202, HONOLULU, HI 96813-5139
(808) 368-1898
(808) 744-9291
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-1438
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MAT-1438
MAT-1438
HI
Enumeration date
11/27/2020
Last updated
12/17/2020
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