MICHAEL TANNER WAGNER

HAIKU, HI
NPI1063272532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: HI  MAT-12842)
Enumeration Date2024-03-20
Last Update Date2024-03-20
Business Address
MICHAEL TANNER WAGNER
718 HAIKU RD
HAIKU, HI 96708-5846
Phone number: 435-669-5171
Mailing Address
MICHAEL TANNER WAGNER
15950 HALEAKALA HWY
KULA, HI 96790-8015
Phone number: 435-669-5171
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