Individual
MS. DEBORAH JEANNE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2752 WOODLAWN DR, STE 5-110, HONOLULU, HI 96822-1802
(808) 721-7811
Mailing address
PO BOX 61625, HONOLULU, HI 96839-1625
(808) 721-7811
(808) 721-7811
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
CMT 0019006122
VA
225700000X
Massage Therapist
Primary
MAT 9697
HI
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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