Myron James Vititow, LMT

NPI #1558025650 in Waialua, Hawaii

Provider Information

NPI Number: 1558025650
Entity Type: Individual
Name: Myron James Vititow, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 25, 2021
Last Updated: Oct 25, 2021

Practice Location

Address: 68-139 AU ST
City: Waialua
State: Hawaii
ZIP Code: 96791-8405
Phone: (518) 344-0396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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