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Individual

DEANA-MARIE SANDOBAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
94-318 KAHUAHELE ST, WAIPAHU, HI 96797-3403
(808) 237-9350
Mailing address
94-318 KAHUAHELE ST, WAIPAHU, HI 96797-3403
(808) 237-9350

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-171879
HI
106S00000X
Behavior Technician

Other

Enumeration date
07/23/2021
Last updated
11/22/2022
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