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Individual

LIELYMAR RENON BELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
86-285 LEIHOKU ST, WAIANAE, HI 96792-2958
(898) 697-7110
Mailing address
84-920 LAHAINA ST, WAIANAE, HI 96792-2237
(808) 679-5009

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
HI
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
XLQ0000122216
HI
Enumeration date
07/26/2021
Last updated
07/26/2021
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