Individual
JENNIFER BABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
161 MAA ST, KAHULUI, HI 96732-3603
(808) 270-1893
(808) 270-1892
Mailing address
161 MAA ST, KAHULUI, HI 96732-3603
(808) 270-1893
(808) 270-1892
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MAT-7292
HI
225700000X
Massage Therapist
Primary
MAT-7292
HI
Other
Enumeration date
06/10/2008
Last updated
02/16/2022
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