Individual
MR. MARK LEE OSEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 KAMOKILA BLVD STE 210, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
311 DALENE WAY # B, HONOLULU, HI 96821-2204
(808) 349-8243
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1362464
HI
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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