Individual
MRS. CARRIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4340 ULUA ST, KILAUEA, HI 96754-5378
(808) 346-5388
Mailing address
4340 ULUA ST, KILAUEA, HI 96754-5378
(808) 346-5388
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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