Individual
SHARLENE CORPUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-053 POAILANI CIR, WAIPAHU, HI 96797-3207
(808) 221-7706
Mailing address
94-053 POAILANI CIR, WAIPAHU, HI 96797-3207
(808) 221-7706
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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