Jacqueline Nicole Deegan, LMT

NPI #1720223928 in Pahoa, Hawaii

Provider Information

NPI Number: 1720223928
Entity Type: Individual
Name: Jacqueline Nicole Deegan, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 3, 2008
Last Updated: Dec 3, 2008

Practice Location

Address: 15-2891 PAHOA VILLAGE RD.
City: Pahoa
State: Hawaii
ZIP Code: 96778-8214
Phone: (808) 965-6623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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