Organization
6TH AVENUE GROUP LLC
Active
Other names
Island Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATASHA T LEDOUX-SONOMA (CEO)
(808) 425-6860
Entity
Organization
Contact information
Practice address
122 PAGO PAGO ST., PAGO PAGO, AS 96799
(808) 425-6860
Mailing address
PO BOX 122, PAGO PAGO, AS 96799-0122
(808) 425-6860
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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