Individual
STEPHANIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1023 PENSACOLA ST STE C, HONOLULU, HI 96814-1957
(808) 349-8260
Mailing address
2333 KAPIOLANI BLVD APT 1301, HONOLULU, HI 96826-4427
(808) 349-8260
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5037
HI
Other
Enumeration date
02/01/2016
Last updated
02/11/2016
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