Individual
BRANDI ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, PES, CES
Contact information
Practice address
81-1043 KONAWAENA SCHOOL RD, KEALAKEKUA, HI 96750-8121
(808) 323-4500
(808) 323-4515
Mailing address
PO BOX 382, KEALAKEKUA, HI 96750-0382
(808) 324-7727
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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