Individual
SERENA D JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
75-5995 KUAKINI HWY STE 602, KAILUA KONA, HI 96740-2124
(808) 443-9910
Mailing address
74-5124 PALIHIOLO PL, KAILUA KONA, HI 96740-9635
(808) 443-9910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10110
HI
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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