Individual
KRISTINE E SY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4-1558 KUHIO HWY, KAPAA, HI 96746
(808) 635-2299
(808) 821-2922
Mailing address
3394 UNAHE ST APT A, LIHUE, HI 96766-1285
(808) 635-2299
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT 12152
HI
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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