Individual
MARYROSE SULLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1020 ANANIA CIR APT 78, MILILANI, HI 96789-2046
(831) 234-3477
Mailing address
1390 MILLER ST, HONOLULU, HI 96813-2493
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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