Individual
TIMOTHY A HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
919 KAUHIKOA RD, HAIKU, HI 96708-5856
(808) 283-9990
Mailing address
919 KAUHIKOA RD, HAIKU, HI 96708-5856
(808) 283-9990
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13710
HI
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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