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Channel Irorita Lagoc, MT

Massage Therapist in Honolulu, HI. Individual provider (NPI-1).

NPI number1043976897
StatusActive
Last updated in NPPESNov 16, 2021

Details

NPI
1043976897
Entity type
Individual (NPI-1)
Name
Channel Irorita Lagoc
Credential
MT
Sex
Female
Sole proprietor
No
Enumeration date
Nov 16, 2021
Certification date
Nov 15, 2021
Last updated
Nov 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist15761HIYes

Practice location

1406 Colburn St # 202
Honolulu, HI 96817-4903

Phone 808-843-8372 · Fax 808-847-6632

Mailing address

Po Box 2907
Honolulu, HI 96802-2907

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