Individual
MS. AMY L HASTANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
178049
OR
225700000X
Massage Therapist
12819
HI
225700000X
Massage Therapist
21658
OR
Other
Enumeration date
01/27/2016
Last updated
07/21/2022
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