Individual
STEPHANIE JOERKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
15-2950 PAHOA VILLAGE RD, PAHOA, HI 96778
(808) 965-6307
Mailing address
PO BOX 1864, PAHOA, HI 96778-1864
(808) 965-6307
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7506
HI
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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