Individual
JESSICA STARE VALANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
602 KAILUA RD, #202, KAILUA, HI 96734-2841
(808) 277-7641
Mailing address
602 KAILUA RD, #202, KAILUA, HI 96734-2841
(808) 277-7641
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2677
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000267864
HMSA
HI
05
—
59164501
—
HI
Enumeration date
02/23/2007
Last updated
02/22/2012
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