Individual
AMANDA TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75-127 LUNAPULE RD STE 1A, KAILUA KONA, HI 96740-2112
(226) 380-8769
Mailing address
76-6195 PAKALANA RD UNIT 2, KAILUA KONA, HI 96740-2205
(929) 329-4132
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-18113-0
HI
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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