Individual
JACOB SAMUEL LIEBMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, RN
Contact information
Practice address
2045 LAUWILIWILI ST, KAPOLEI, HI 96707-3900
(503) 314-9328
Mailing address
91-290 HANAPOULI CIR APT 6J, EWA BEACH, HI 96706-3708
(503) 314-9328
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
RN-68669
HI
225700000X
Massage Therapist
Primary
MAT-15682
HI
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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