Individual
MRS. WATCHARA WONGKAEW LATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
98-211 PALI MOMI ST STE 412, AIEA, HI 96701-4318
(808) 479-4693
Mailing address
98-211 PALI MOMI ST STE 412, AIEA, HI 96701-4318
(808) 479-4693
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-14106
HI
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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