Individual
TRACI L. S. SCHMALLE-JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1131 KUALA STREET, C/O THE VISION CENTER, PEARL CITY, HI 96782
(808) 455-5650
(808) 455-5625
Mailing address
94-348 LELEAKA ST, MILILANI, HI 96789-2213
(808) 455-5650
(808) 455-5625
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
594
HI
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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