Individual
MS. MATI SAPOLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1019 UNIVERSITY AVE, SUITE T02, HONOLULU, HI 96826-1509
(808) 203-0776
Mailing address
1019 UNIVERSITY AVENUE, SUITE T02, HONOLULU, HI 96826
(808) 203-0776
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
LMT8600
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMT8600
MASSAGE THERAPIST
HI
Enumeration date
05/26/2009
Last updated
05/26/2009
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