Individual
MEGAN DONNA BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53-412 KAMEHAMEHA HWY, HAUULA, HI 96717-9723
(480) 203-7643
Mailing address
PO BOX 601, HAUULA, HI 96717-0601
(480) 203-7643
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14042
HI
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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