Individual
JELAH PACATANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 SALT LAKE BLVD, HONOLULU, HI 96818-3153
(808) 597-1711
Mailing address
2975 ALA NAPUAA PL APT 301, HONOLULU, HI 96818-2739
(808) 452-4335
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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