Individual
VICTOR JINGXU TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1005 14TH AVE, HONOLULU, HI 96816-3629
(808) 259-1866
Mailing address
1005 14TH AVE, HONOLULU, HI 96816-3629
(808) 259-1866
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU433
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACU433
ACUPUNCTURE MASSAGE
HI
01
—
MAT3955
MASSAGE
—
Enumeration date
10/08/2019
Last updated
10/08/2019
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