Individual
JULIA NERISSA NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-428 MOKUOLA ST, WAIPAHU, HI 96797-6300
(808) 944-2882
Mailing address
615 NORTHSIDE DR APT O2, GRIFFIN, GA 30223-1428
(470) 401-8250
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/23/2024
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