Individual
LARAINA LAVERGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 KAPAA QUARRY PL, STE 5002, KAILUA, HI 96734
(180) 874-1223
Mailing address
939 N KALAHEO AVE, KAILUA, HI 96734-1802
(808) 367-2456
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
08/12/2022
Last updated
01/05/2024
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