Individual
NAOMI BROSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 SALT LAKE BLVD STE B6, HONOLULU, HI 96818-3171
(808) 597-1711
Mailing address
1122 KRUKOWSKI RD, HONOLULU, HI 96819-1558
(808) 388-2113
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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