Individual
AUDRE TARA HARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
65-1238 MAMALAHOA HWY BLDG C20A, KAMUELA, HI 96743-8432
(808) 895-0139
Mailing address
64-730 WAIKELEHUA PL, KAMUELA, HI 96743-8375
(808) 895-0139
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4615
HI
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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