Individual
AMBER M CANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
291 KUMAMA ALY, HONOLULU, HI 96818-5958
(479) 422-8335
Mailing address
291 KUMAMA ALY, HONOLULU, HI 96818-5958
(479) 422-8335
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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