Individual
JANELLE MIZUGUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13948
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13948
STATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
HI
Enumeration date
12/31/2018
Last updated
12/10/2024
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