Individual
GARY MIZUUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
600 KAPIOLANI BLVD STE 202, HONOLULU, HI 96813-5139
(808) 368-1898
(808) 744-9291
Mailing address
2338 S KING ST APT E, HONOLULU, HI 96826-2330
(808) 221-2766
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-15177
HI
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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