Individual
TESSA KL ASUEGA- CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
94-673 KUPUOHI ST, WAIPAHU, HI 96797-5367
(808) 364-1555
Mailing address
94-375 OLOLU ST, MILILANI, HI 96789-2411
(808) 798-0596
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-17829
HI
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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