Individual
JACKQUILAN ANDREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
94-673 KUPUOHI ST STE A204, WAIPAHU, HI 96797-5369
(808) 364-1555
Mailing address
91-1500 RENTON RD APT 222, EWA BEACH, HI 96706-4230
(254) 781-1576
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-15853
HI
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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