Individual
MR. JORDAN S CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41-611 INOAOLE ST, WAIMANALO, HI 96795-1211
(808) 492-2213
Mailing address
2752 KAHOALOHA LN APT 307, HONOLULU, HI 96826-3319
(808) 492-2213
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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