Individual
JODIE PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 KAMEHAMEHA AVE, HILO, HI 96720-4627
(808) 443-7958
Mailing address
PO BOX 711337, MOUNTAIN VIEW, HI 96771-1337
(808) 443-7958
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15072
HI
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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