DR. Jennifer Otylia Broad, D.C.

NPI #1194878207 in Pearl City, Hawaii

Provider Information

NPI Number: 1194878207
Entity Type: Individual
Name: DR. Jennifer Otylia Broad, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jan 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 803 KAMEHAMEHA HWY STE 309
City: Pearl City
State: Hawaii
ZIP Code: 96782-2638
Phone: (808) 456-5553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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