Provider Demographics
NPI:1992594659
Name:POJAS-SUAN, JESSICA (LMT, HEALTH COACH)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:POJAS-SUAN
Suffix:
Gender:
Credentials:LMT, HEALTH COACH
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:POJAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:94-332 LELEAKA ST
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-2213
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:95-221 KIPAPA DR STE B1-12
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-1199
Practice Address - Country:US
Practice Address - Phone:808-859-4499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-16152225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist