Individual
YOUNGSEON IKEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
803 KAMEHAMEHA HWY, PEARL CITY, HI 96782-2680
(808) 455-1122
Mailing address
803 KAMEHAMEHA HWY, PEARL CITY, HI 96782-2680
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT12988
HI
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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