Individual
MINJU GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 KAMOKILA BLVD STE 210, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
45-509 NAKULUAI ST, KANEOHE, HI 96744-2224
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-419625
HI
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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