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Individual

SYLVIE GENDRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12-7088 KAIWIHALA, PAHOA, HI 96778
(808) 640-1582
Mailing address
RR 2 BOX 4617, PAHOA, HI 96778-7718
(808) 640-1582

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT7315
HI

Other

Enumeration date
11/30/2018
Last updated
11/30/2018
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