Individual
MR. BRENT W.L. FONG II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 WARD AVE, STE #210, HONOLULU, HI 96814-4015
(808) 542-7656
Mailing address
1456 THURSTON AVE, #252, HONOLULU, HI 96822-3682
(808) 542-7656
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT#6948
HI
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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