Individual
JAMES CLINTON WILKES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3-1866 KAUMUALII HWY, LIHUE, HI 96766-8606
(808) 634-4770
Mailing address
2401 KIPUKA ST, KOLOA, HI 96756-9555
(808) 634-4770
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11801
HI
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
818335
ABMP
—
Enumeration date
12/26/2018
Last updated
12/26/2018
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