Individual
AWATSADA THONGKOPPHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98-027 HEKAHA ST, BUILDING 3 UNIT 21, AIEA, HI 96701-4910
(808) 457-0260
Mailing address
1088 BISHOP ST, APT 805, HONOLULU, HI 96813-3141
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12849
HI
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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