Individual
JESSIE BRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC LMT
Contact information
Practice address
76-829 HUALALAI RD, KAILUA KONA, HI 96740-9779
(808) 895-2900
Mailing address
77-6425 KUAKINI HWY # 9, KAILUA KONA, HI 96740-3213
(808) 895-2900
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-375
HI
Other
Enumeration date
01/28/2017
Last updated
01/28/2017
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