Individual
GENEVIEVE LYNN SOUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
64 KEAWE ST STE 205, HILO, HI 96720-2486
(808) 365-2179
Mailing address
PO BOX 4671, KAILUA KONA, HI 96745-4671
(808) 365-2179
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-16729
HI
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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