Individual
HAYLEE SARAE PATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
553 WAINEE ST, LAHAINA, HI 96761-1109
(808) 446-4561
(855) 446-4561
Mailing address
70 PUALU LOOP UNIT 2, LAHAINA, HI 96761-9186
(808) 359-9944
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/02/2022
Last updated
01/02/2022
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