Individual
DOROTHEA ALLISON MCCOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
75-166 KALANI ST., SUITE 203, KAILUA-KONA, HI 96740
(808) 329-5155
Mailing address
P.O. BOX 1800, KEALAKEKUA, HI 96750
(808) 640-6824
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10669
HI
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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