Individual
GAVIN SEUMALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2845 WAIALAE AVE APT 411, HONOLULU, HI 96826-1857
(808) 738-2950
Mailing address
2845 WAIALAE AVE APT 411, HONOLULU, HI 96826
(808) 738-2950
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
156833
HI
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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