Individual
AMBER BROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
68 PUAKO BEACH DR, KAMUELA, HI 96743-9707
(808) 557-6704
Mailing address
PO BOX 2271, KAMUELA, HI 96743-2271
(808) 557-6704
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
12011
HI
174400000X
Specialist
Primary
12011
HI
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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