Individual
JAN LEE KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
932 WARD AVE FL 6, HONOLULU, HI 96814-2131
(808) 535-5555
Mailing address
PO BOX 61557, HONOLULU, HI 96839-1557
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10507
HI
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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