Individual
JENNY MAE ALAS BUTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
75-5699 KOPIKO ST, KAILUA KONA, HI 96740-3651
(808) 329-7744
Mailing address
74-5111 KEALAKAA ST, KAILUA KONA, HI 96740-1519
(808) 319-6493
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT-5596
HI
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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