Individual
GORDON W.S. WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1236 WAIMANU ST STE A, HONOLULU, HI 96814-4305
(808) 352-6144
Mailing address
88 PIIKOI ST APT 1503, HONOLULU, HI 96814-4277
(808) 593-4429
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-16242
HI
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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