# ADVANCED MASSAGE WEST OAHU INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710465042
- **Authorized official:** SAMANTHA K TANJOCO LMT (PRESIDENT)
- **Authorized official phone:** (808) 729-8391

## Contact information

- **Practice address:** 91-2047 KAIOLI ST APT 2602, EWA BEACH, HI 96706-6159
- **Practice address phone:** (808) 277-6201
- **Practice address fax:** (808) 443-0813
- **Mailing address:** 91-2047 KAIOLI ST APT 2602, EWA BEACH, HI 96706-6159
- **Mailing address phone:** (808) 277-6201
- **Mailing address fax:** (808) 443-0813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | MAT-11688 | HI | Yes |

## Other

- **Enumeration date:** 07/30/2018
- **Last updated:** 07/30/2018