Individual
JENNY WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 WAILEA IKE PL STE A104, KIHEI, HI 96753-6502
(808) 298-6029
Mailing address
3310A AKALA DR, KIHEI, HI 96753-9435
(617) 529-2337
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13537
HI
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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