Individual
JORDANN HANAYO KALAE PATRICIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1652 FROG LN, HONOLULU, HI 96817-3120
(808) 620-2983
Mailing address
1652 FROG LN, HONOLULU, HI 96817-3120
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-16074
HI
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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