Individual
JULIA OK JEOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, LMT
Contact information
Practice address
81-6587 MAMALAHOA HWY C301, KEALAKEKUA, HI 96750
(716) 259-1909
Mailing address
PO BOX 1909, KEALAKEKUA, HI 96750-1909
(808) 209-9149
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
19372
HI
225700000X
Massage Therapist
16578
HI
Other
Enumeration date
03/30/2020
Last updated
05/10/2022
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