Individual
TARA TOMOYASU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99-128 AIEA HEIGHTS DR, SUITE 302, AIEA, HI 96701-3925
(808) 485-0885
Mailing address
99-128 AIEA HEIGHTS DR, SUITE 302, AIEA, HI 96701-3925
(808) 485-0885
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT 7958
HI
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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