Individual
AMANDA JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2070 KILAUEA AVE, HILO, HI 96720-5233
(808) 938-4129
Mailing address
2070 KILAUEA AVE, HILO, HI 96720-5233
(808) 938-4129
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-14167
HI
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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