Individual
MR. BRANDON ALLEN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT
Contact information
Practice address
1281 S KING ST, HONOLULU, HI 96814-2254
(808) 593-8866
Mailing address
1281 S KING ST, HONOLULU, HI 96814-2254
(808) 518-0071
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14881
HI
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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