Individual
BRIANNA ROSE MARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64-1032 MAMALAHOA HWY, SUITE 105, KAMUELA, HI 96743-8441
(808) 640-2321
Mailing address
PO BOX 1101, KAPAAU, HI 96755-1101
(808) 640-2321
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13243
HI
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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