Individual
JENNIFER STABRYLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
75-127 LUNAPULE RD STE 14, KAILUA KONA, HI 96740-2119
(800) 400-4433
Mailing address
PO BOX 2278, KAILUA KONA, HI 96745-2278
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT6910
HI
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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