Individual
MARY MEGAN LAGASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2439 S KIHEI RD STE 206A, KIHEI, HI 96753-6279
(808) 875-4325
Mailing address
160 KEONEKAI RD APT 22-101, KIHEI, HI 96753-7142
(808) 276-1872
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT9811
HI
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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