Individual
JACQUELINE BETH GUPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
75-184 HUALALAI RD, KAILUA KONA, HI 96740-1719
(808) 680-9123
Mailing address
73-1198 AKAMAI ST, KAILUA KONA, HI 96740-8224
(808) 345-1982
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-5836
HI
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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