Individual
JACQUELYN DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2045 MAIN ST, WAILUKU, HI 96793-1648
(808) 242-8844
(808) 244-7414
Mailing address
PO BOX 880066, PUKALANI, HI 96788-0066
(808) 281-5708
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7902
HI
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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