Individual
JACOB SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1443 KALAEPOHAKU ST, HONOLULU, HI 96816-1804
(808) 800-7493
Mailing address
1443 KALAEPOHAKU ST, HONOLULU, HI 96816-1804
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-17047
HI
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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