Individual
DANA M GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 KILAUEA AVE STE 60, HILO, HI 96720-4264
(808) 687-0117
Mailing address
PO BOX 10938, HILO, HI 96721-5938
(660) 619-5545
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
02/21/2020
Last updated
08/02/2024
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