Individual
MARK ILAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2024 N KING ST STE 109, HONOLULU, HI 96819-3470
(808) 847-2644
(808) 847-2624
Mailing address
775 MCNEILL ST APT 118B, HONOLULU, HI 96817-4218
(808) 358-5751
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10320
HI
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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