Individual
MR. MARK JAMES O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED MASSAGE THE
Contact information
Practice address
1236 S. KING ST., ROOM 200, HONOLULU, HI 96813
(808) 271-7236
Mailing address
3027 PUALEI CIRCLE APT 207, HONOLULU, HI 96815
(808) 271-7236
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT6539
HI
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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