Individual
MARY J. BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., LMT
Contact information
Practice address
53 PUUKO ST, HILO, HI 96720-1832
(808) 961-6261
(808) 961-6261
Mailing address
PO BOX 11288, HILO, HI 96721-6288
(808) 961-6261
(808) 961-6261
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
280777
CA
163W00000X
Registered Nurse
RN 48086
HI
225700000X
Massage Therapist
Primary
MAT 5987
HI
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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