Individual
JENNIFER BENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., DIPL. AC.
Contact information
Practice address
76-5914 MAMALAHOA HWY, HOLUALOA, HI 96725
(808) 345-2599
Mailing address
PO BOX 859, HOLUALOA, HI 96725-0859
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 770
HI
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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