Individual
DR. MIRELLA VASQUEZ BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
98-1005 MOANALUA RD, SUITE 420, AIEA, HI 96701-4777
(808) 440-4836
(808) 440-4827
Mailing address
98-1005 MOANALUA RD, SUITE 420, AIEA, HI 96701-4777
(808) 440-4836
(808) 440-4827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN253
HI
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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