Individual
CHAYLEN K.K. ILAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
98-027 HEKAHA ST STE 3, AIEA, HI 96701-4919
(808) 282-2650
Mailing address
98-027 HEKAHA ST STE 3, AIEA, HI 96701-4919
(808) 282-2650
(808) 488-2221
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-11005
HI
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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