Individual
JACQUELYN BRYAN FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 ALA MOANA BLVD STE 1, HONOLULU, HI 96814-4262
(808) 585-1424
Mailing address
438 KUAMOO ST APT 304, HONOLULU, HI 96815-2053
(858) 210-8121
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
02/09/2023
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