Individual
JILL NOELANI STURDEVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15-2891 PAHOA VILLAGE RD, PAHOA, HI 96778
(808) 222-3235
Mailing address
15-2891 PAHOA VILLAGE RD, PAHOA, HI 96778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT15746
HI
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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