Blaine Kk Caceres, LICENSED MASSAGE THE

NPI #1003463373 in Hilo, Hawaii

Provider Information

NPI Number: 1003463373
Entity Type: Individual
Name: Blaine Kk Caceres, LICENSED MASSAGE THE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LICENSED MASSAGE THE
Enumeration Date: Aug 21, 2019
Last Updated: Aug 21, 2019

Practice Location

Address: 475 AWA ST
City: Hilo
State: Hawaii
ZIP Code: 96720-5809
Phone: (808) 960-9941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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