Individual
JODY ANN KEHAULANI AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98-027 HEKAHA ST STE 8, AIEA, HI 96701-4919
(808) 224-5138
Mailing address
45-514 OHA PL, KANEOHE, HI 96744-5920
(808) 224-5138
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-16421
HI
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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