Individual
ASHLEY THERESA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1043 MAKAWAO AVE, MAKAWAO, HI 96768-9465
(808) 707-7734
Mailing address
623 LOWER KIMO DR, KULA, HI 96790-8242
(808) 268-8617
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT16515
HI
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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