Individual
MR. JEFFERY S LEIENDECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT
Contact information
Practice address
4-491 KUHIO HWY STE A, KAPAA, HI 96746
(808) 855-5473
Mailing address
4-491 KUHIO HWY STE A, KAPAA, HI 96746
(808) 855-5473
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-15836
HI
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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