Individual
CHAD ADOLPHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 MAHALANI STREET, ROOM 21, WAILUKU, HI 96793
(808) 244-4647
Mailing address
95 MAHALANI ST, WAILUKU, HI 96793-2521
(808) 244-4647
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14774
HI
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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