Individual
CLARICE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-801 FARRINGTON HWY, WAIPAHU, HI 96797-3164
(808) 680-9123
Mailing address
94-801 FARRINGTON HWY, WAIPAHU, HI 96797-3164
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12806
HI
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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