Organization
ADVANCED MASSAGE WEST OAHU INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA K TANJOCO LMT (PRESIDENT)
(808) 729-8391
Entity
Organization
Contact information
Practice address
91-2047 KAIOLI ST APT 2602, EWA BEACH, HI 96706-6159
(808) 277-6201
(808) 443-0813
Mailing address
91-2047 KAIOLI ST APT 2602, EWA BEACH, HI 96706-6159
(808) 277-6201
(808) 443-0813
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MAT-11688
HI
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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