Individual
MISS LISA M GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2114 CHURCH ST, IAO ACUPUNCTURE & SPA, WAILUKU, HI 96793
(808) 249-8280
(808) 249-8947
Mailing address
P.O. BOX 790733, PAIA, HI 96779
(808) 250-3809
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8003
HI
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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