Individual
MARCEL HENRIQUE ROSA MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
91-1123 KEAUNUI DR STE 223, EWA BEACH, HI 96706-6369
(808) 208-0031
Mailing address
2064 YOUNG ST APT 302, HONOLULU, HI 96826-2214
(808) 208-0031
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-17025-0
HI
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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