Individual
DR. JENNIFER OTYLIA BROAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
803 KAMEHAMEHA HWY STE 309, PEARL CITY, HI 96782-2638
(808) 456-5553
(808) 455-6520
Mailing address
91-1072 OPAEHUNA ST, EWA BEACH, HI 96706-3565
(808) 676-6855
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 657
HI
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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