Individual
JUANITA GAE BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 PUU ANOANO ST APT 3201, LAHAINA, HI 96761-1965
(808) 870-8367
Mailing address
PO BOX 10244, LAHAINA, HI 96761-0244
(808) 870-8367
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6969
HI
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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