Individual
JAY WOLFBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1284 AUPAPAOHE ST, KAILUA, HI 96734-4136
(267) 664-7749
Mailing address
1284 AUPAPAOHE ST, KAILUA, HI 96734-4136
(267) 664-7749
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-15786
HI
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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