Individual
ALLEGRA LK THOMPSON JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
45-696 KAMEHAMEHA HWY, KANEOHE, HI 96744-2034
(808) 292-6171
Mailing address
41-052 HIHIMANU ST, WAIMANALO, HI 96795-1606
(808) 292-6171
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9729
HI
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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