Individual
MR. JESSE LEWIS GUNNELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
224 KAMEHAMEHA AVE STE 201, HILO, HI 96720-2860
(808) 825-4214
Mailing address
224 KAMEHAMEHA AVE STE 201, HILO, HI 96720-2860
(808) 825-4214
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15619
HI
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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