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Individual

CHIA FORTUNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
863 HALEKAUWILA ST, HONOLULU, HI 96813-5325
(808) 779-1839
Mailing address
94-1195 MELEINOA PL # B-22, WAIPAHU, HI 96797-4166
(808) 779-1839

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6529
HI

Other

Enumeration date
01/29/2024
Last updated
01/29/2024
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