Individual
LARA MIYAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 ATKINSON DR FL 3, HONOLULU, HI 96814-4730
(808) 594-7621
Mailing address
4348 WAIALAE AVE # 955, HONOLULU, HI 96816-5767
(808) 594-7621
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-13285
HI
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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