Individual
MAILE ANN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2019 AANIU LOOP, PEARL CITY, HI 96782-1311
(808) 482-4829
Mailing address
2019 AANIU LOOP, PEARL CITY, HI 96782-1311
(808) 482-4829
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-176480
HI
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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