Individual
MR. TAVITA MAEA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
95-754 HOKUWELOWELO PL APT M102, MILILANI, HI 96789-2952
(808) 450-5772
Mailing address
95-754 HOKUWELOWELO PL APT M102, MILILANI, HI 96789-2952
(808) 450-5772
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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