Individual
JACOB NICHOLAS EUSTAQUIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
770 KAPIOLANI BLVD STE 104, HONOLULU, HI 96813-5254
(808) 596-9446
Mailing address
604 ULUMALU ST, KAILUA, HI 96734-4325
(808) 542-7235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/05/2019
Last updated
05/05/2019
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