Individual
REGINA MAE HAWKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
46-005 KAWA STREET, STE 306B, KANEOHE, HI 96744
(808) 256-5801
Mailing address
903 ALAHAKI STREET, KAILUA, HI 96734
(808) 256-5801
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3995
HI
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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