Individual
JAZMINE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3954 SIERRA DR, HONOLULU, HI 96816-3343
(808) 342-6810
Mailing address
3954 SIERRA DR, HONOLULU, HI 96816-3343
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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