Individual
SANDRA BRAZZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
280 HOMEOLU PLACE, KAUNAKAKAI, HI 96748
(808) 553-3121
(808) 553-3112
Mailing address
PO BOX 408, KAUNAKAKAI, HI 96748-0408
(808) 553-3121
(808) 553-3112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-10968
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50073702
—
HI
Enumeration date
06/22/2006
Last updated
07/08/2007
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