Jessica Leal, LMT

NPI #1457590515 in Lahaina, Hawaii

Provider Information

NPI Number: 1457590515
Entity Type: Individual
Name: Jessica Leal, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Feb 12, 2009
Last Updated: Feb 12, 2009

Practice Location

Address: 180 DICKENSON ST
Address 2: SUITE 205
City: Lahaina
State: Hawaii
ZIP Code: 96761-1215
Phone: (808) 250-1124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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