Individual
JENNA HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
74-5576 PAWAI PL SUITE J 696, KAILUA KONA, HI 96740
(541) 556-5965
Mailing address
74-5576 PAWAI PL SUITE J 696, KAILUA KONA, HI 96740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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