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Individual

PHOENYX ELLA MARION HUMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
98-939 MOANALUA RD, AIEA, HI 96701-5012
(808) 721-8386
Mailing address
98-939 MOANALUA RD, AIEA, HI 96701-5012
(808) 721-8386

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
2730769
HI

Other

Enumeration date
08/03/2026
Last updated
08/03/2026
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