Individual
CHANNEL IRORITA LAGOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1406 COLBURN ST # 202, HONOLULU, HI 96817-4903
(808) 843-8372
(808) 847-6632
Mailing address
PO BOX 2907, HONOLULU, HI 96802-2907
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15761
HI
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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