Individual
JESSICA KANEAKUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
622 HINANO ST, HILO, HI 96720-4427
(808) 969-1935
Mailing address
622 HINANO ST, HILO, HI 96720-4427
(808) 969-1935
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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