Individual
JORDAN ROSE BEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77-6425 SEA VIEW CIRCLE, KAILUA KONA, HI 96740
(808) 796-6893
Mailing address
75-5660 KOPIKO ST STE C7, #117, KAILUA KONA, HI 96740
(808) 796-6893
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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