Individual
JANELL TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1221 KA UKA BLVD STE 108, WAIPAHU, HI 96797-6299
(808) 292-7968
Mailing address
87-1114 OHEOHE ST, WAIANAE, HI 96792-3456
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-78710
HI
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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