Individual
MR. LEIGH K KUPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
81 CENTRAL AVE, WAILUKU, HI 96793-1723
(808) 269-2154
Mailing address
PO BOX 6062, KAHULUI, HI 96733-6062
(808) 269-2154
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT 7829
HI
Other
Enumeration date
12/17/2009
Last updated
12/26/2009
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