Provider Demographics
NPI:1033368667
Name:GARCIA-OSUNA, JENNIFER NOELANI (LAC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:NOELANI
Last Name:GARCIA-OSUNA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 HUI F RD APT 8
Mailing Address - Street 2:
Mailing Address - City:LAHAINA
Mailing Address - State:HI
Mailing Address - Zip Code:96761-9190
Mailing Address - Country:US
Mailing Address - Phone:808-269-9995
Mailing Address - Fax:
Practice Address - Street 1:133 N MARKET ST
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1717
Practice Address - Country:US
Practice Address - Phone:808-269-9995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI880171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist