Individual
KANAKO IMAGAWA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-801 FARRINGTON HWY, WAIPAHU, HI 96797-3164
(808) 680-9123
Mailing address
1529 MOKUNA PL, HONOLULU, HI 96816-2839
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-12894
HI
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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