Individual
GINGER JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85-175 FARRINGTON HWY # 309, WAIANAE, HI 96792-2154
(808) 548-9206
Mailing address
85-175 FARRINGTON HWYB309, WAIANAE, TX 96792
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
13085
HI
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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