Individual
SIMONE PILIALOHA MITCHENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 GREEN ST, HONOLULU, HI 96813
(808) 523-8188
Mailing address
710 GREEN ST, HONOLULU, HI 96813-2119
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-92138
HI
Other
Enumeration date
07/22/2019
Last updated
10/01/2019
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