Individual
JASON WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
72-3996 HAWAII BELT RD, KAILUA KONA, HI 96740-8608
(808) 238-9409
Mailing address
64-5280 PUU NANEA ST, KAMUELA, HI 96743-8125
(808) 238-9409
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1046
HI
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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