Individual
SAMANTHA NAKAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73-1942 HAO ST, KAILUA KONA, HI 96740
(808) 756-1767
Mailing address
PO BOX 4135, KAILUA KONA, HI 96745-4135
(807) 756-1767
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-16523
HI
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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