Individual
PAMELA KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4417 AHOPUEO DR, KALAHEO, HI 96741-9401
(808) 635-7497
Mailing address
4417 AHOPUEO DR, KALAHEO, HI 96741-9401
(808) 635-7497
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
2298
HI
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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