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Individual

ARLENE AVALOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
55 S KUKUI ST APT 711, HONOLULU, HI 96813-2313
(909) 737-2298
Mailing address
55 S KUKUI ST APT 711, HONOLULU, HI 96813-2313
(909) 737-2298

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
XLQ0002109313
HMSA
HI
Enumeration date
09/26/2022
Last updated
09/26/2022
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