Provider Demographics
NPI:1295063006
Name:YAU, JENNIFER JING (LAC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JING
Last Name:YAU
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 1:5875A FULMAR AVE
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-3238
Mailing Address - Country:US
Mailing Address - Phone:415-585-1990
Mailing Address - Fax:415-585-1990
Practice Address - Street 1:5875A FULMAR AVE
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-3238
Practice Address - Country:US
Practice Address - Phone:808-492-6697
Practice Address - Fax:808-492-6697
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-07
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA000052225700000X
HI1384171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist