Most Relevant Information
Provider Data
| NPI Number: | 1003318486 |
| Provider Name: | TYSAN PAAGA LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 15565 |
Most Important Dates
| Enumeration Date: | 03/01/2018 |
| Last Updated: | 03/01/2018 |
Provider Practice Location
46-012 KAMEHAMEHA HWY STE B1
KANEOHE
HI
967446701
Practice Location Phone/Fax
| Phone: | 8082352828 |
| Fax: | 8082352828 |
Provider Mailing Location
45-265 WILLIAM HENRY RD APT H5
KANEOHE
HI
967443148
Provider Mailing Phone/Fax
| Phone: | 8083872429 |
| Fax: |