Individual
LEIALOHA T THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54-272 KAM HWY, HAUULA, HI 96717-9523
(808) 783-9154
Mailing address
54-272 KAM HWY, HAUULA, HI 96717-9523
(808) 783-9154
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB447565
HI
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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