Individual
DR. GRETCHEN MARIE IMDIEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
4270 KILAUEA RD, KILAUEA, HI 96754-5239
(808) 652-6407
(808) 482-2047
Mailing address
PO BOX 1029, KILAUEA, HI 96754-1029
(808) 652-6407
(808) 482-2047
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT 60184419
WA
Other
Enumeration date
11/18/2010
Last updated
12/08/2012
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