Individual
MARY TANCIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ELECTROLOGIST
Contact information
Practice address
115 E LIPOA ST, KIHEI, HI 96753-8182
(808) 875-7070
Mailing address
146 HOKAI PL, KIHEI, HI 96753-6206
(808) 875-7070
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
EL 40
HI
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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