Individual
PHETSAMONE SIVONGXAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98-1005 MOANALUA RD SPC 235, AIEA, HI 96701-4707
(808) 488-8588
(808) 556-3389
Mailing address
98-1005 MOANALUA RD SPC 235, AIEA, HI 96701-4707
(808) 488-8588
(808) 556-3389
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-14512
HI
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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