Provider Demographics
NPI:1043455926
Name:MAES, JASMINE MICHELLE (LM, CPM)
Entity type:Individual
Prefix:MS
First Name:JASMINE
Middle Name:MICHELLE
Last Name:MAES
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5820 MELI PL
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-2326
Mailing Address - Country:US
Mailing Address - Phone:808-212-8006
Mailing Address - Fax:808-204-9988
Practice Address - Street 1:5820 MELI PL
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-2326
Practice Address - Country:US
Practice Address - Phone:808-212-8006
Practice Address - Fax:808-204-9988
Is Sole Proprietor?:No
Enumeration Date:2008-12-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMW14176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife