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Individual

BRITTANY BOTHERAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2911A BOOTH RD, HONOLULU, HI 96813-1198
(808) 281-6336
Mailing address
2911A BOOTH RD, HONOLULU, HI 96813-1198
(808) 281-6336

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MAT8143
HI
174400000X
Specialist

Other

Enumeration date
05/23/2024
Last updated
05/23/2024
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