Individual
VAN QUACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-510 LUMIAINA ST APT H203, WAIPAHU, HI 96797-5725
(808) 384-1178
Mailing address
94-510 LUMIAINA ST APT H203, WAIPAHU, HI 96797-5725
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8187
HI
Other
Enumeration date
01/27/2008
Last updated
01/27/2008
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