Individual
JESSICA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
719 KAMEHAMEHA HWY STE B101, PEARL CITY, HI 96782-2771
(808) 723-2921
(808) 484-9106
Mailing address
719 KAMEHAMEHA HWY STE B101, PEARL CITY, HI 96782-2771
(808) 723-2921
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-12032
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
576616
—
HI
Enumeration date
11/20/2020
Last updated
11/20/2020
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