Individual
JESSICA ANNLEILANI HAAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
92-1288 KIKAHA ST APT 74, KAPOLEI, HI 96707-1564
(808) 861-3902
Mailing address
PO BOX 2116, WAIANAE, HI 96792-8116
(808) 861-3902
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-17310
HI
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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