Individual
ALEXIS K SAGAPOLUTELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2176 LAUWILIWILI ST STE 1, KAPOLEI, HI 96707-1882
(808) 344-3773
Mailing address
91-214 KUPIAPIA PL, EWA BEACH, HI 96706-4512
(808) 344-3773
(808) 400-7375
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13607
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
HI
Enumeration date
07/11/2021
Last updated
07/11/2021
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