Individual
JASON OBENCHAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2070 KILAUEA AVE, HILO, HI 96720-5233
(808) 981-0485
Mailing address
PO BOX 1842, HILO, HI 96721-1842
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT11392
HI
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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