Individual
MISS BERNADETTE CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4867 OLOHENA RD, KAPAA, HI 96746-1737
(808) 821-4470
Mailing address
PO BOX 1856, KAPAA, HI 96746-5856
(808) 821-4470
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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