Individual
SAGE NAOMI BRODERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOM, L.AC
Contact information
Practice address
2747 WAIOMAO RD, HONOLULU, HI 96816-3429
(808) 940-3345
Mailing address
2718 WAIOMAO RD, HONOLULU, HI 96816-3430
(808) 940-3345
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1222
HI
Other
Enumeration date
05/08/2019
Last updated
05/28/2020
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