Organization
MALAMA CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE BRODERSON D.O. (OWNER)
(808) 329-7797
Entity
Organization
Contact information
Practice address
74-5620 PALANI RD # 102, KAILUA KONA, HI 96740-3640
(808) 329-7797
Mailing address
74-5620 PALANI RD # 102, KAILUA KONA, HI 96740-3640
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
MAT 4538
HI
Other
Enumeration date
02/28/2009
Last updated
02/28/2009
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