NPI 1720582869

Jodi Leslie Matsuo, RD

Practitioner Registered Dietitian Kailua Kona, HI

Practice location

Address: 78-6831 Alii Dr STE B-110, Kailua Kona, HI 96740-2495
Phone: (808) 443-6099
Mailing address: PO Box 312, Captain Cook, HI 96704-0312

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 30-LD (HI)

Other Dietitian, Registered providers in Hawaii →

Registry record

NPI: 1720582869
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Mar 2018
Record last updated: 22 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.