Individual
BARBARA ADELE WYNNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14-346 PAKAKA, PAHOA, HI 96778
(808) 937-8691
Mailing address
PO BOX 727, PAHOA, HI 96778-0727
(808) 937-8691
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT4674
HI
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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