Individual
CELESTE JEFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1221 KA UKA BLVD, WAIPAHU, HI 96797-6202
(808) 773-2792
Mailing address
84-246 MAKAU ST, WAIANAE, HI 96792-1827
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-157272
HI
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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