Individual
MS. HAZUKI T TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
94-615 KUPUOHI ST, SUITE 212, WAIPAHU, HI 96797-1124
(808) 688-1808
Mailing address
91-1013 KAIKAUHAA ST, EWA BEACH, HI 96706-5060
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT#7967
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1055205
AMERICAN SPECIALTY HEALTH
HI
Enumeration date
02/07/2007
Last updated
07/08/2007
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