Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 14876 | HI |
NPI | 1003338559 |
---|---|
Provider Name | Neenel Kharb |
First Address | Paia, HI 96779-2001 |
Second Address | Haiku, HI 96708-5846 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2017 |
Last Update Date | 15/07/2017 |