BRENT W.L. FONG

HONOLULU, HI
NPI1699947143
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: HI  Mat#6948)
Enumeration Date2008-03-25
Last Update Date2008-03-25
Business Address
Mr. BRENT W.L. FONG
250 WARD AVE STE #210
HONOLULU, HI 96814-4015
Phone number: 808-542-7656
Mailing Address
Mr. BRENT W.L. FONG
1456 THURSTON AVE #252
HONOLULU, HI 96822-3682
Phone number: 808-542-7656
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