Individual
BETH PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-467 HENE ST, WAIPAHU, HI 96797-1305
(808) 379-2436
Mailing address
94-467 HENE ST, WAIPAHU, HI 96797-1305
(808) 379-2436
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1-140068
HI
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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