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Individual

RACHEL JACOBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2226 LILIHA ST STE 403, HONOLULU, HI 96817-1605
(714) 624-2870
Mailing address
51-158 KAAAWA PARK LN, KAAAWA, HI 96730-9829
(714) 624-2870

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
HI

Other

Enumeration date
09/24/2019
Last updated
09/24/2019
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