Individual
JADELYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2226 LILIHA ST STE 403, HONOLULU, HI 96817-1605
(415) 989-5000
Mailing address
55-442 IOSEPA ST, LAIE, HI 96762-2110
(808) 824-7270
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
03/06/2020
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