Individual
MRS. MICHELLE LEIGH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R. D.
Contact information
Practice address
3224 ELUA ST, LIHUE, HI 96766-1213
(808) 245-3770
(808) 245-2390
Mailing address
2226 LILIHA ST, SUITE 226, HONOLULU, HI 96817-1600
(808) 585-4600
(808) 585-4601
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
RD-884886
HI
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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