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Individual

CHRISTINA DAWN JENNINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
95 MAHALANI ST RM 19A, WAILUKU, HI 96793-2521
(808) 244-7467
Mailing address
1015 KAUPAKALUA RD, HAIKU, HI 96708-5237
(808) 276-4546

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1332
HI

Other

Enumeration date
09/06/2013
Last updated
09/06/2013
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