NPI 1720582869 · live from the CMS NPI Registry
Jodi Leslie Matsuo, RD
Dietitian, Registered in Kailua Kona, HI. National Provider Identifier 1720582869, active.
NPI record
| NPI | 1720582869 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 78-6831 Alii Dr Ste B-110, Kailua Kona, HI 96740 |
| Practice phone | 808-443-6099 |
| Mailing address | Po Box 312, Captain Cook, HI 96704 |
| Enumerated | March 22, 2018 |
| Last updated | March 22, 2018 |
| Sole proprietor | No |
| Other names | Jodi Leslie-Ledward |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 30-LD (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.