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Martin Wallace, LMT
NPI 1821844598 · on the registry since 2024 · sole proprietor
Practice
- Address
- 68-3840 Lua Kula St
Admin 3
Waikoloa, HI 96738 - Phone
- (808) 909-3111
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- HI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii