Individual
SHANNYN MATSUMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
1001 WAIMANU ST APT D, HONOLULU, HI 96814-3411
(808) 294-2632
Mailing address
3912 KEANU ST, HONOLULU, HI 96816-4220
(808) 294-2632
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-1348
HI
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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