Individual
MS. JAMIE LYNN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 BALDWIN AVE, PAIA, HI 96779
(808) 579-9134
Mailing address
580 LAIE DR, MAKAWAO, HI 96768-8902
(808) 268-3268
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT 5827
HI
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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