Individual
MS. JEANELLA KEOPUHIWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16590 B OLD VOLCANO RD, KEAAU, HI 96749
(808) 967-7439
(808) 967-8518
Mailing address
PO BOX 463, VOLCANO, HI 96785
(808) 967-7439
(808) 967-8518
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3602
HI
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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