Individual
KIARA NICOLE FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 KAPPA QUARRY PL, KAILUA, HI 96734
(808) 247-2973
Mailing address
2098 ALA MAHAMOE ST, HONOLULU, HI 96819-1627
(808) 388-2067
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-79203
IN
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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