Individual
ANDREA NICOLE MALASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
564 SOUTH ST, HONOLULU, HI 96813-5013
(808) 591-1173
Mailing address
94-697 KAAOKI PL, WAIPAHU, HI 96797-1210
(808) 255-6439
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-376368
HI
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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