Individual
BLAKE FREED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
91-1123 KEANUI DRIVE #228, EWA BEACH, HI 96706
(808) 321-0253
Mailing address
91-1123 KEANUI DRIVE #228, EWA BEACH, HI 96706
(808) 321-0253
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-1548-0
HI
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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