Individual
JENNIFER MANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 KAMOKILA BLVD STE 206, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
92-1342 PANANA ST APT 112, KAPOLEI, HI 96707-1467
(702) 301-9057
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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