Individual
MR. CAMP DENTON BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 KAPAA QUARRY PL, KAILUA, HI 96734
(808) 247-2973
Mailing address
44-105 PUUOHALAI PL, KANEOHE, HI 96744-2545
(405) 391-5026
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
HI
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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