Individual
TRACI L. BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
480 CENTRAL AVE, FAMILY PRACTICE CLINIC, JBPHH, HI 96860-4908
(808) 257-3365
Mailing address
480 CENTRAL AVE, FAMILY PRACTICE CLINIC, JBPHH, HI 96860-4908
(808) 257-3365
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
663922
CA
Other
Enumeration date
10/31/2007
Last updated
12/20/2012
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