Individual
LYSTRA IRENE BRAUMULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 471-1866
(808) 471-7855
Mailing address
POTOMAC HEALTHCARE SOLUTIONS, 1549 OLD BRIDGE ROAD SUITE 201, WOODBRIDGE, VA 22191
(703) 496-5321
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
35612
HI
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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