Individual
CHANDELLE DACOSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46-155 KAMEHAMEHA HWY, KANEOHE, HI 96744-3651
(808) 233-5727
Mailing address
47-162 PULAMA RD, KANEOHE, HI 96744-5023
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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