Individual
RENEE WOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
564 SOUTH ST, HONOLULU, HI 96813-5013
(808) 591-1173
Mailing address
564 SOUTH ST, HONOLULU, HI 96813-5013
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-02125
HI
Other
Enumeration date
05/20/2016
Last updated
10/07/2016
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