Individual
JEAN WILLIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 N MARKET ST, WAILUKU, HI 96793-1718
(808) 242-8788
Mailing address
40 N MARKET ST, WAILUKU, HI 96793-1718
(808) 242-8788
(808) 242-8788
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-15189
HI
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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