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Individual

JONATHAN HIMALAYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
65-1241 POMAIKAI PL APT 7, KAMUELA, HI 96743-7311
(808) 896-9188
(808) 315-7989
Mailing address
PO BOX 10732, HILO, HI 96721-5732
(808) 756-6344

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14347
HI

Other

Enumeration date
01/04/2021
Last updated
01/04/2021
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