Individual
JASON WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
932 WARD AVE FL 6, HONOLULU, HI 96814-2131
(808) 535-5555
Mailing address
932 WARD AVE FL 6, HONOLULU, HI 96814-2131
(808) 535-5555
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13235
HI
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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