Individual
TAMARA LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
16 BALDWIN AVE, PAIA, HI 96779
(808) 283-1948
Mailing address
PO BOX 791100, PAIA, HI 96779-1100
(808) 283-1948
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6104
HI
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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