Individual
BRANNT IBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91-1078 YORKTOWN ST, KAPOLEI, HI 96707-2160
(808) 433-0645
Mailing address
95-1081 KENI ST, MILILANI, HI 96789-6550
(808) 753-6710
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-114421-0
HI
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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