Individual
BRENDA KAY MACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
95-720 LANIKUHANA AVE, STE 140, MILILANI, HI 96789-2985
(808) 623-6244
(808) 623-6414
Mailing address
95-720 LANIKUHANA AVE, STE 140, MILILANI, HI 96789-2985
(808) 623-6244
(808) 623-6414
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT 14391
HI
225700000X
Massage Therapist
MA60113271
WA
Other
Enumeration date
04/18/2013
Last updated
04/19/2016
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