Individual
JILL MARIE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE MAT 5245
Contact information
Practice address
4569 KUKUI ST STE 201, KAPAA, HI 96746-1775
(808) 651-0717
Mailing address
7210 KAHUNA RD # N, KAPAA, HI 96746-9027
(808) 651-0717
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5245
HI
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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