Individual
MS. SUSAN C COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
360 HOOHANA ST STE A104, KAHULUI, HI 96732-2975
(808) 877-1534
Mailing address
153 E KAMEHAMEHA AVE STE 104-250, KAHULUI, HI 96732-3424
(808) 269-0133
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MAT1483
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
MASSAGE THERAPY
HI
Enumeration date
10/24/2016
Last updated
10/23/2019
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