Individual
JEAN M BALASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
735 CALIFORNIA AVE, WAHIAWA, HI 96786-1935
(808) 628-9988
(808) 621-3388
Mailing address
735 CALIFORNIA AVE, WAHIAWA, HI 96786-1935
(808) 628-9988
(808) 621-3388
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT-3192
HI
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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