Individual
STEPHANIE STAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
65-1235A OPELO RD #7, SUITE #7, KAMUELA, HI 96743
(215) 680-3788
Mailing address
PO BOX 51, LAUPAHOEHOE, HI 96764
(215) 680-3788
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT15917
HI
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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