Cruz, Jessica

Cruz, Jessica is an individual health care provider with primary practice located at 719 Kamehameha Hwy Ste B101 , Pearl City HI 96782-2771. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Cruz, Jessica can be contacted via phone (808) 723-2921.

Contact Information

Primary practice address
719 Kamehameha Hwy Ste B101 Pearl City HI 96782-2771
Phone: (808) 723-2921
Fax: (808) 484-9106
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MAT-12032 Hawaii

Profile Details

NPI number 1962005843
LBN Legal business name Cruz, Jessica
Credentials MAT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2020
Last updated Nov 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962005843 NPPES
Hawaii MEDICAID 576616

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