Individual
MICHELE AKEMI IDEMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 KILAUEA AVE. SUITE 60, HILO, HI 96720
(808) 969-9622
(808) 969-9894
Mailing address
1221 KILAUEA AVE. SUITE 60, HILO, HI 96720
(808) 969-9622
(808) 969-9894
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
12/04/2023
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