Individual
JASON ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT
Contact information
Practice address
31 S BERETANIA ST, HONOLULU, HI 96813-2220
(808) 524-8588
Mailing address
31 S BERETANIA ST, HONOLULU, HI 96813-2220
(808) 524-8588
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-14288
HI
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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