Philip Fank De Ricco, LMT

NPI #1942845508 in Pahoa, Hawaii

Provider Information

NPI Number: 1942845508
Entity Type: Individual
Name: Philip Fank De Ricco, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 7, 2019
Last Updated: Dec 21, 2022

Practice Location

Address: 15-614 PUNI MAUKA LOOP S
City: Pahoa
State: Hawaii
ZIP Code: 96778-9415
Phone: (808) 315-3447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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