Individual
ROSE ADVINCULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 SALT LAKE BLVD STE D8, HONOLULU, HI 96818-3172
(808) 244-6879
Mailing address
94-011 WAIPAHU ST APT D213, WAIPAHU, HI 96797-1722
(808) 726-9224
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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